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    Ati pn adult medical surgical 2023 proctored exam
    Select All That Apply

    A nurse is preparing to discontinue a client's intravenous infusion. Identify the sequence the nurse should follow to remove the IV catheter. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

    Explanation & Rationale

    A. Remove the dressing and tape from the venipuncture site: The dressing and tape are removed after the IV tubing is clamped to prevent fluid leakage. This step exposes the catheter for safe removal while maintaining sterility. B. Clamp the IV tubing: Clamping the tubing stops the flow of IV fluids and prevents backflow or bleeding from the catheter. This ensures safety before manipulating the catheter. C. Withdraw the catheter from the client's vein: The catheter is gently removed after the site is exposed and the tubing is clamped. Smooth withdrawal minimizes trauma and reduces the risk of bleeding or venous injury. D. Perform hand hygiene: Hand hygiene should be done before any procedure to reduce the risk of introducing infection. It ensures aseptic technique is maintained throughout the IV discontinuation process. E. Apply pressure to the venipuncture site with sterile gauze: Immediate pressure is applied after catheter removal to prevent bleeding and promote clot formation. The site is held until hemostasis is achieved and then dressed appropriately.

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