Practice Question
A nurse is monitoring a client who is receiving continuous IV propofol. Which of the following actions should the nurse take to maintain the client's IV site?
Answer Choices:
Correct Answer:
Change the IV tubing at least every 6 hr.
Rationale:
🟩 Propofol is delivered in a lipid emulsion, which increases the risk of bacterial growth if tubing is not changed appropriately.
🟩 Changing IV tubing at least every 6–12 hours is commonly required by policy to reduce contamination risk (your option specifies 6 hours).
🟩 This action directly supports infection prevention and protects the IV site from phlebitis and bloodstream infection.
🟩 Maintaining a closed system and minimizing contamination is critical with continuous sedative infusions.
🟩 Tubing changes are a standard IV maintenance step for high-risk infusions, so this is the best choice for IV site safety.
Change the IV site dressing daily
🟩 Dressings are changed based on type (often every several days) or if soiled/loose, not routinely daily.
🟩 Unnecessary daily changes can irritate skin and increase contamination risk from frequent manipulation.
Disconnect IV tubing when applying the client’s gown
🟩 Disconnecting breaks the closed system and increases infection risk.
🟩 Tubing should remain connected; reposition gown/lines without breaking the circuit.
Increase IV infusion rate as needed
🟩 Rate changes are for sedation goals and provider orders, not for IV site maintenance.
🟩 Increasing rate can worsen hypotension/respiratory depression without addressing IV site integrity.
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This question is from ☑️ ATI RN Pharmacology 2023 VIII which contains 68 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pharmacology
- Answer Choices: 4