NCLEX-PN

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2. Perform hand hygiene 3. Select a suitable vein. 4. Apply a tourniquet about 3 to 4 inches above the chosen site on the client's arm. 5. Palpate the vein. 6. Clean the site using an alcohol prep pad in a circular pattern from the venipuncture site outward. Allow the area to dry. 7. Ask the client to make a fist or use warm compresses to dilate the vein. Do not allow the client to pump the limb. 8. Pull the skin taut to expose the vein. 9. Insert the catheter needle into the vein at a 15 to 30-degree angle with the bevel up. 10. Look for blood flashbacks into the catheter. 11. Lower the angle of the catheter needle. 12. Gently advance the catheter until it is level with the surrounding skin. 13. Remove the tourniquet and connect the intravenous tubing to the catheter hub. 14. Secure and stabilize the catheter using a manufactured catheter stabilization device to prevent vein irritation and accidental dislodgement. 15. Adjust the infusion rate per the doctor's order. 16. Discard supplies appropriately 17. Perform hand hygiene Educating Clients on Intermittent Parenteral Fluid Therapy Nurses are responsible for educating clients about the necessity of intermittent parenteral fluid therapy. This education should include the following key points: ● Purpose of Therapy : Clients should understand why intermittent parenteral fluid therapy is prescribed. It may be required to maintain hydration, deliver medications, or address specific medical conditions. ● Monitoring Signs : Clients should be educated about the importance of monitoring for signs of complications or discomfort, such as pain, swelling at the insertion site, changes in flow rate, or alarms from infusion devices.

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