e Calculator QUESTION 56 The nurse manager on the oncology unit makes rounds during the day shift.

e Calculator QUESTION 56 The nurse manager on the oncology unit makes rounds during the day shift. Which observation by the manager requires an immediate intervention? 1. Wearing gloves, the nurse firmly seals all four edges of the sterile gauze dressing at an IV catheter insertion site with tape. O2. Using a marking pen, the nurse labels an IV fluid bag with the date and time the IV was initiated and the nurse’s initials. 3. The nurse secures aluminum foil around a hanging IV solution of nitroprusside. 4. The nurse wears a cap, mask, sterile gown, and sterile gloves when initiating a peripherally inserted central catheter (PICC) line.