Alright, I'm studying to take the NCLEX in 44 days. I registered for Kaplan review because of the awesome reviews I heard about them. While taking their Qbank tests, I noticed several answers that I think were not the correct ones. I haven't practiced nursing in a long while so hopefully someone here has a better knowledge than me. Please let me know what is the correct answer on this one.
Question: (Somewhat like this)
The nurse is assisting in the insertion of a central venous catheter. During the insertion, the nurse notice the tip of the monitor brushes the underside of the sterile field. Which of the action is MOST appropriate?
Correct answer: obtain a new monitor device and prepare for a second attempt
My answer: Notify the physician of the occurence
Ok, yes I did considered the correct answer but I notice that the nurse is just assisting and I presume a physician is doing the insertion therefore isn't it MOST important to inform him that the equipment is no longer sterile and therefore a new one had to be obtained? It's weird if the nurse just leaves to obtain a new machine without informing the physician right? Or am I just over-thinking or reading in to the question?
In terms of medication, the nurses can not adjust the dose on their own. It needs to be done by a doctor. If you ring a doctor to advise them that the insertion had to be redone due to something loosing sterility theres a very good chance they are going to yell at you and ask you why you are wasting their time.
As for your OP. I agree with kaplan. There was a saying in our nursing class, 'its a correct answer, its not the most correct"
I think I finally understand now. Can you clarify something for me, the nurse is the one performing the insertion of the cath or is that procedure done only by a physician?
Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
I think I finally understand now. Can you clarify something for me, the nurse is the one performing the insertion of the cath or is that procedure done only by a physician?
The RN is typically assisting as the physician or midlevel provider (nurse practitioner or clinical nurse specialist) performs the actual insertion.
The RN is typically assisting as the physician or midlevel provider (nurse practitioner or clinical nurse specialist) performs the actual insertion.
Thank you for confirming that.. I was reading everyone's reply and it seems like they ASSUME the nurse is performing the insertion because it would make sense to just get a fresh new equipment rather than informing someone who wasn't even there to notice the procedure.
They should read the question carefully and they would get what I mean. Thank you sir..
if it has been brushed up on, coughed on, drops, falls, stepped on, no matter howww expensive, toss and get new one. and THEN inform the boss...I always though tof it like this:
if i did something that broke protocol, i would have a game plan before i approach my manager.
so in this case, sterility was broken, your game plan is to obtain a new device/cath then you go to your manager and say HEY listen up, i made a mistake BUT before you yell, i got a new one, can you please supervise.
thegratefulone
29 Posts
I think I finally understand now. Can you clarify something for me, the nurse is the one performing the insertion of the cath or is that procedure done only by a physician?