Question

A client is transferred from the ER to the neurological unit with a diagnosis of ischemic stroke. The nurse is preparing to begin a heparin infusion. Which piece of equipment is essential? A. 18-gauge IV catheter B. Bag of normal saline C. IV regulation device D. Extension tubing

Short answer

Answer: C. IV regulation device

Step-by-step solution

Identify the purpose of each piece of equipment

A. 18-gauge IV catheter: It is used to start an intravenous (IV) line through which medication or fluids can be administered. B. Bag of normal saline: It is used as a diluent to prepare the heparin infusion or as a primary IV fluid. C. IV regulation device: It is used to control the flow rate of the medication or fluids being infused. D. Extension tubing: It is utilized to connect the IV line to the patient's IV catheter.

Determine the requirement for a heparin infusion

Heparin infusion is an anticoagulant medication used to treat and prevent blood clots in patients with ischemic stroke. The essential requirement is to administer the medication correctly and safely at the required flow rate.

Evaluate the options

A. 18-gauge IV catheter: While it is necessary to start an IV line to administer the heparin infusion, the size of the IV catheter is not critical to the infusion itself. B. Bag of normal saline: It may or may not be required, as the heparin infusion can be in a standalone bag or mixed with the primary IV fluid. It does not directly influence the safety and accuracy of the heparin infusion administration. C. IV regulation device: This device allows precise control over the flow rate of the heparin infusion, which is crucial for the treatment's effectiveness and patient's safety. D. Extension tubing: Although it can be useful, it is not critical to the safe and accurate administration of the heparin infusion.

Choose the correct answer

Based on the analysis above, the essential equipment for a heparin infusion is the IV regulation device. So, the correct answer is (C) IV regulation device.