Question 22

Keep the IV bag higher than the IV site and slide it through the sleeve.

Maintaining the IV bag higher than the IV site while changing a gown is essential to prevent backflow of blood into the IV line, which could lead to complications. Sliding the gown through the sleeve allows for a safer and more efficient gown change without disrupting the IV access.

A) Keep the IV bag even with the heart and slide it through the sleeve

This option is incorrect because keeping the IV bag even with the heart does not ensure that the IV line is maintained properly. It could lead to backflow and potential complications, as the IV bag must be elevated above the IV site.

B) Ask the nurse to disconnect the IV and change the gown

While this option might seem safe, it is unnecessary and could lead to interruptions in medication delivery or hydration. The goal is to change the gown without disrupting the IV access, making this choice less efficient.

C) Keep the IV bag higher than the IV site and slide it through the sleeve

This option is correct as it effectively prevents backflow of blood and maintains the integrity of the IV line while allowing for a safe gown change. It is the best practice in this scenario.

D) Disconnect the IV bag and change the gown and reconnect

This option is incorrect since disconnecting the IV bag can interrupt medication or fluid therapy, posing a risk to the resident's health. Maintaining the IV access is crucial during such procedures.

Conclusion

Option C is the most appropriate choice as it ensures the IV line remains functional while allowing for a smooth gown change. Other options either pose risks to the resident's health or introduce unnecessary complications by disrupting the IV access. Therefore, keeping the IV bag higher than the IV site and sliding the gown through the sleeve is the best practice.