Difficulty: Medium
Average Score: 83%
Simulated
A nurse is observing a newly licensed nurse provide client care. Which of the following actions by the newly licensed nurse requires intervention by the nurse?
Correct answer
D
Rationale
The correct answer is D. When removing a peripheral IV catheter, the nurse should not use scissors to remove the tape that secures the catheter as this can potentially cause harm to the patient by cutting the catheter or causing injury to the skin. The correct way to remove the tape securing the catheter is by gently peeling it off with the fingers to prevent any harm to the patient.
Choice A is incorrect because inserting the enema tube 8 cm is within the safe range for administration. Choice B is incorrect as elevating the head of the bed after a client's death helps with post-mortem care. Choice C is incorrect as using a clean washcloth, soap, and water for indwelling catheter care is appropriate for maintaining hygiene.
Choice A is incorrect because inserting the enema tube 8 cm is within the safe range for administration. Choice B is incorrect as elevating the head of the bed after a client's death helps with post-mortem care. Choice C is incorrect as using a clean washcloth, soap, and water for indwelling catheter care is appropriate for maintaining hygiene.