Question

A 2-year-old is bleeding from a laceration on the right lower extremity that occurred as the result of a motor vehicle collision. The nurse is selecting supplies to start an IV access. Which assessment finding is most significant in the nurse's selection of catheter size?

Answer 1

When selecting a catheter size for IV access in a bleeding 2-year-old, the potential volume of blood loss and the need for fluid resuscitation are the most significant considerations to ensure that the IV can support adequate fluid delivery.

Step-by-step explanation:

The most significant assessment finding to consider when selecting a catheter size for starting IV access in a 2-year-old who is bleeding from a laceration is the potential volume of blood loss.

Given the risk of blood loss, it's important to ensure that the catheter can support adequate fluid resuscitation, which may be necessary to replace fluid volume and maintain blood pressure.

For pediatric patients, if there is a risk of blood loss of at least 7 mL/kg of body weight, it is critical to choose a catheter size that can efficiently deliver fluid replacement.

It's also essential to take into account the infant's size and the severity of the injury, as these factors will influence the diameter and length of the catheter that can safely be inserted. In a trauma setting, prompt assessment and delivery of care are crucial to minimize complications and improve patient outcomes.