Difficulty: Hard

Average Score: 40%

When changing a gown of a resident with an IV, you should:

Rationale

Keep the IV bag higher than the IV site and slide it through the sleeve.

Maintaining the IV bag higher than the IV site during a gown change is essential to prevent backflow of blood and maintain the integrity of the IV line. Sliding the gown through the sleeve while keeping the IV bag elevated ensures that the IV therapy continues uninterrupted and safely.

A (keep the IV bag even with the heart and slide it through the sle) YOUR ANSWER

Keeping the IV bag even with the heart does not provide adequate elevation, which is necessary to prevent blood from flowing back into the IV catheter. This position can risk complications such as infiltration or phlebitis and does not ensure the continued delivery of fluids or medications.

B (ask the nurse to disconnect the IV and change the gown) YOUR ANSWER

Asking the nurse to disconnect the IV may not be necessary and could interrupt the resident's treatment unnecessarily. It is preferable to manage the gown change while keeping the IV line intact, as disconnecting can increase the risk of complications and delay therapy.

C (keep the IV bag higher than the IV site and slide it through the sleeve) CORRECT

This approach is correct as it ensures that the IV bag is elevated, preventing any backflow while allowing the gown to be changed safely. This method minimizes the risk of complications associated with IV therapy and maintains the flow of necessary fluids or medications.

D (disconnect the IV bag and change the gown and reconnect) YOUR ANSWER

Disconnecting the IV bag poses risks, including the potential for infection and interruption of treatment. Reconnecting the IV line can also lead to complications if not done correctly, making this option inappropriate during a simple gown change.

Conclusion

During a gown change for a resident with an IV, it is crucial to keep the IV bag higher than the IV site and slide it through the sleeve. This method ensures the safety and efficacy of the IV therapy while minimizing the risk of complications. Other options involving disconnection or improper positioning can jeopardize the patient's treatment and health.

Related Questions

View all