Comprehensive Nursing Pharmacology Q 295

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An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. What gauge of catheter would best meet the needs of this client?

  

     A. 18

     B. 20

     C. 21 butterfly

     D. 25

    

    

Correct Answer: A. 18

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Clients going to the operating room ideally should have an 18- gauge catheter. This is large enough to handle blood products safely and to allow rapid administration of large amounts of fluid if indicated during the perioperative period. An 18-gauge catheter is recommended.

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Option B: A 20-gauge catheter is a second choice. One may be able to push blood* through this size if an 18 gauge can’t be used, but always check the employer’s protocol. This size is better for patients with smaller veins.

Option C: A 21-gauge needle is too small and a butterfly too unstable for a client going to surgery. Mostly used for transfusions in pediatric, neonate, and older adult patients.

Option D: A 25-gauge needle is too small. It is most commonly used for neonatal and pediatric patients.

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