A nurse is planning to insert a peripheral iv. Use scissors to remove the IV site dressing and tape.

A nurse is planning to insert a peripheral iv Weston Hilland Inserting an IV Catheter 49. Place the client's arm in a dependent position. What patient care order should the nurse anticipate? a. Which of the following actions should the nurse plan to take? Insert a new IV catheter distal to the discontinued IV site. (A peripheral-short catheter is one that is less than or equal to 3 inches in length. A peripheral intravenous catheter (PIVC) is the most common type of IV. Initiate IV therapy in the veins of the hand PIV Care and Maintenance Assess, at a minimum, every shift (adults) and every hour (pedi), and document assessment on flowsheet Flushing: • Minimum 2ml of 0. Dec 12, 2023 · When planning to insert a peripheral IV catheter for an older adult, a nurse should take several key actions: Review the procedure aloud with the team, including the confirmation of the patient's identity, the procedure to be done, and that all necessary equipment is available and functioning. Continuous practice, feedback, and ongoing education are key to mastering this vital skill. B) Pack a small piece of cotton deep into the client's ear canal. A nurse prepares to insert a peripheral venous catheter in an older adult. The nurse should recognize that which of the following findings indicates fluid volume excess? (select all that apply), While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen and A nurse is planning to insert a peripheral IV catheter in an older adult client. The correct answer is that the nurse should dangle the client's arm over the edge of the bed to help dilate the vein. -Ask the patient about allergies to latex or iodine. Which of the following actions should the nurse take? a) Select a site proximal to the previous venipuncture site. Credit Hours: 3 Authors: Kevin Arnold, DNP, MSN, BBA, BS, BSN, RN This course covers the use of ultrasound equipment to aid in peripheral IV insertion and includes content on items such as technology, vessel and catheter selection, site preparation, techniques, complications, and potential pitfalls. After the demonstration, they provide additional information about IV catheters and insertio A nurse is inserting a peripheral IV catheter and observes a blood return in the flashback chamber after puncturing the skin and selected vein. -Remove excessive Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to place a peripheral IV in an 8-year-old pediatric patient. Study with Quizlet and memorize flashcards containing terms like A nurse is planning to insert a peripheral IV catheter for an older adult client. 2. A nurse is inserting a peripheral IV catheter and observes a blood return in the flashback chamber after puncturing the skin and selected vein. Stop the infusion before removing the IV catheter. b) It has to be applied on the skin. 1) Observation, patient teaching, and care in a diversity of health care settings (2) Contributions to the planning, implementation, and evaluation of nursing; (3) Administration of medications and treatments authorized by an individual who is authorized to practice in this state and is acting within the course of the individual's professional practice, except that administration of HESI LPN TestBanks. 6. The nurse should include that which of the following findings is an indication of early infiltration May 19, 2024 · Prescribed IV solution or medication with attached and primed administration set (Refer to the “Checklist for Primary IV Solution Administration” in Open RN Nursing Skills. A nurse is inserting a short peripheral IV catheter for a client that requires IV fluid. which of the following actions should the nurse plan to take? a. 2 Apply a tourniquet below the venipunture site . Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving a continuous IV through a peripheral intravenous device. Starting an IV (intravenous catheter) can be an intimidating experie Peripheral Intravenous Catheters. Shave excess hair from the insertion site. Which is the order of priority that the nurse should take to prepare for the IV insertion? Arrange the actions in the order of priority that they should be performed. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? A) Press gently on the tragus of the client's ear. When inserting a peripheral IV catheter for the administration of IV fluid, the nurse should choose the client's dominant arm for IV access if that is possible. The catheter is then inserted into the vein at a 15- to 30-degree angle. Staff in NICU, Anesthesia, or vascular surgeons are sometimes needed for some patients. Insert the catheter at a 45° angle B. Place the following steps in the order in A nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for continuous infusion. The nurse has initiated a 20-gauge peripheral IV catheter in the client's left cephalic vein using aseptic technique. Where will the piggyback container be placed? A. D. Which of the following veins should the nurse choose as the insertion site? a) superficial dorsal vein b) median vein in the forearm c) cephalic vein in the wrist d) great saphenous vein Nov 17, 2023 · Initiate IV therapy in the veins of the hand. d. How often should the nurse plan to replace the primary infusion tubing? Every 96 hr. " B. m. Start tube feedings tid via A nurse is planning to initiate IV therapy for an older adult client who requires IV fluids. C) Move the client's auricle down and A nurse is planning to insert a peripheral IV catheter for an older adult client. Nursing Interventions. First, the nurse should address the inflammation and pain with warm compresses. Which of the following actions should the nurse plan to take?Insert the catheter at a 45° angle. Fundus boggy at two fingerbreadths above the umbilicus. Changing IV every 72 hours or sooner dependent on facility policy, Practicing of surgical aseptic technique. Which statement by the nurse indicates a need for further discussion? A. Full Transcript: Clinical Skills - Peripheral IV Insertion (Venipuncture) Study with Quizlet and memorize flashcards containing terms like A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. What should the nurse tell the client regarding the administration of the drug? a) It has to be swallowed. insert the catheter at a 45° angle b. 3. Such devices may be referred to as peripheral IV (or venous) lines, cannulas, or catheters depending on the country. This technique uses gravity to increase blood flow to the arm and dilate the veins, making it easier to insert a peripheral IV catheter. How should the nurse always start the process of insertion? -Leave one hand ungloved to assess the site. Which of the following actions should the nurse plan to take? a-Insert the catheter at a 45 degree angle b-Place the client's arm in a dependent position c-Shave excess hair from the insertion site d-Initiate IV therapy in the veins of the hand The nurse is preparing to insert a peripheral intravenous (IV) line and administer prescribed 0. Which of the following actions should the nurse plan to take? There are 2 steps to solve this one. Nurses' Notes 1200: Large amount of lochia rubra noted on perineal pad. The nurse should record how many mL of IV fluids on the intake record at 0600?, A nurse is preparing to insert an IV catheter for a client and has selected the insertion site. A nurse is caring for a client who reports a pain level of 5 on a scale of 0-10. c) It has to be injected. Close the roller clamp on the tubing. Plus, info about IV catheters and insertion tips. Initiate IV therapy in the veins of the hand. This guide provides a step-by-step guide to starting an IV, discusses the benefits of mastering this skill, and offers tips for improving technique. com/professional/critical-care-medicine/approach-to-the-critically-ill-pat 1) insert the catheter at a 45 degree angle 2) place the clients arm in a dependent position 3) shave excess hair from the insertion site 4) initiate IV therapy in the veins of the hand CORRECT: 2) place the clients arm in a dependent position 1) generally the nurse should insert at a 10 to 30 degree angle but for older adults an angle of 10 to 15 degrees is preferable because veins are closer Aug 9, 2024 · After some reasonable unsuccessful attempts to insert the IV catheter, it would be best for the patient that the nurse calls for another healthcare provider to try inserting the IV. This is your ability to be a clinician. The new nurse gathers equipment, including an intravenous catheter and insertion kit, and a 4x4 gauze dressing to apply over the insertion site. ) Sterile 10-mL prefilled syringe (or a syringe specifically designed to generate lower injection pressure) containing preservative-free normal saline solution; IV pole In general, smaller gauge catheters (20 to 24) are preferred for peripheral IV therapy, and larger gauge catheters (14 to 18) are used for rapid fluid administration or blood transfusion. Placing the client's arm in a dependent position helps engorge the veins, making them easier to access. Place the client's arm in a dependent position. Peripheral Intravenous Catheters. B. Place the following steps in the correct order. Complications can be categorized as local or systemic. Which of the following actions should the nurse take?, a nurse rates a client's biceps reflex as 2+. Upon removal, the nurse should assess the catheter for which of the following?, A nurse has just initiated an IV infusion and is teaching the client about possible complications. apply firm pressure over the vein. Alcohol c. Which of the following actions should the nurse plan to take? A. All options must be used. Advance and secure. Study with Quizlet and memorize flashcards containing terms like a nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy. A nurse is preparing to insert an IV catheter from a client . Although initiating IV Apr 6, 2022 · With the IV catheter connector, flush the extension tubing or cap. They actually needed a central A nurse is preparing to remove an IV catheter from the arm of a client who has phlebitis at a peripheral IV site. Wear sterile gloves and a mask. c) Initiate IV access on the palmar side of the client's wrist Elevating the client's arm prior to insertion can cause veins to collapse, making it more challenging to insert the IV catheter. Initiating Peripheral IV Access. which of the following solutions should the nurse infuse until the next container of TPN solution becomes available, a Study with Quizlet and memorize flashcards containing terms like A nurse is discontinuing a peripheral IV catheter. Upon removalthe nurse should assess the catheter for which of the following?, A nurse has just initiated an W infusion and is teaching the client about possible complications. It is estimated that about 70% of people with PIVCs will develop associated complications, such as infections. A nurse is planning to insert a peripheral iv catheter for an older adult client, the action in which the nurse should plan to take is to position the client's arm in the dependent position. pack a small piece of cotton deep into the client's ear canal. which of the following action should the nurse take to ensure that the medication reaches the inner ear? 1. ) a. 7. -Cleanse the skin with normal saline. Study with Quizlet and memorize flashcards containing terms like A nurse is measuring a client's vital signs and notices an irregularity in the pulse. shave the excess hair from the insertion site d. Practicing Needlestick Safety. After the demonstration, they provide additional information about IV catheters and insertio Sep 28, 2023 · When planning to insert a **peripheral **IV catheter for an older adult client, the nurse should take the actions to ensure patient safety and effective therapy. Clean site. Several potential complications may arise from peripheral intravenous therapy. Which of the following findings is a manifestation A nurse is preparing to insert a peripheral IV catheter to initiate IV fluid therapy for an older adult client. Monitoring for Potential Complications. The nurse should include that which of the following findings is an indication of early infiltration?, A Study with Quizlet and memorize flashcards containing terms like A nurse us preparing to administer a medication by intravenous piggyback. Place the client's arm in a dependent position C. lower than the primary solution container C. 3 Elevate the client arm prior to insertion . Povidone-iodine d. At an equal height with the primary solution container D. Use all options. Which of the following actions should the nurse plan to take? Position the client's arm in the dependent position A nurse is planning to insert a peripheral IV catheter for an older adult client. Place the following steps in the order in which the nurse should perform them. Mar 2, 2022 · A demonstration on how to insert a peripheral IV (venipuncture). Which of the following actions should the nurse plan to take? Place the client's arm in a dependent position because the veins will dilate due to gravity. A catheter is a small hollow tube placed in the vein. A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following actions should the nurse take?Insert the IV catheter without using a tourniquet Here’s the best way to solve it. "Selection of the catheter will depend on the age of the patient. 5% will require central venous line access due to the risk of vascular endothelial damage. Which actions should the nurse take? (Select all that apply. b) Select a site proximal to previous venipuncture sites. b) Insert a larger gauge IV catheter to prevent phlebitis. " C. Initiate IV therapy in the veins of the hand. An RN may insert a peripheral-short catheter in the alternative care setting with Study with Quizlet and memorize flashcards containing terms like 1. IV Fluid Considerations via Peripheral IV line. 5. A nurse is caring for a client who is 1 hr postpartum. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Chlorhexidine In general, smaller gauge catheters (20 to 24) are preferred for peripheral IV therapy, and larger gauge catheters (14 to 18) are used for rapid fluid administration or blood transfusion. Which Fluids and how much fluids to use Refer to the Intravenous Fluids RCH Clinical Practice Guideline: Intravenous Fluids. 3. Mar 2, 2022 · Ellis demonstrates how to insert a peripheral IV (venipuncture). Options b, c and d are not effective techniques for dilating a vein for IV insertion. Which of the following actions should the nurse plan to take? Position the client's arm in the dependent position A nurse is preparing to insert a peripheral intravenous access device into the arm of a client. The steps for initiating peripheral IV access are described in the “Perform IV Insertion and IV Removal” checklist later in this chapter. The nurse notes the catheter site is warm and painful to touch. Specialty Exams . ) POLICY 1. Ensure your signature is included to authenticate the documentation and maintain accountability. 1. ), A nurse is teaching the mother of a 5-year-old The nurse has initiated a 20-gauge peripheral IV catheter in the client's left cephalic vein using aseptic technique. Advance the catheter into the vein with the finger hub. Which of the following actions should the nurse plan to take? Insert the catheter at a 45° angle. This will facilitate the insertion of the catheter and reduce the risk of complications such as infiltration, phlebitis, or hematoma. Sep 9, 2024 · About 80% of hospital patients, according to the Journal of Infusion Nursing, receive peripheral IV fluid administration, and nurses are vital in preventing complications during this procedure. What is a Peripheral iv catheter? Study with Quizlet and memorize flashcards containing terms like potential infusion sites for peripheral venous catheters, IV Flow Rate Formula, When hanging a new bag of IV fluid for a client, which action does the nurse perform first? Spike the new bag of fluid using aseptic technique. Which of the following actions should the nurse perform next? A) Secure the catheter to the skin with a transparent dressing. Which of the following actions should the nurse plan to take?, A nurse is caring for a client who has a prescription for wound irrigation. Which infection control procedure will the nurse use to ensure safe client care? use of an indwelling urinary catheter Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with scabies. Select vein. HESI Test Bank Medical Surgical Nursing Jul 25, 2023 · Peripheral line placement, also referred to as peripheral intravenous (IV) cannulation, is the insertion of an indwelling single-lumen plastic conduit across the skin into a peripheral vein. Which of the following action should the nurse plan to take ? 1 Choose a vain that is palpable . When preparing the skin for insertion, which of the following should the nurse use to prevent possible health-care associated bloodstream infections? a. Use all the steps. "The tourniquet should be released after Infusion Nursing PURPOSE To provide a safe, aseptic temporary peripheral short venous access for administration of short-term infusion therapies. Insert vascular access device. C. ninjanerd. Which of the following veins is the best choice for a school-aged child?, A nurse is preparing to place a peripheral IV catheter (PIVC) in a patient who requires IV fluids for a diagnosis of dehydration. c. We want you to go out there and make sound decisions. Apply firm pressure with sterile gauze during removal. The insertion angle can vary from 10 to 30 degrees, depending on the depth and location of the vein. d) It has to be inhaled. Also, identify the need. Now you’re ready for proper IV insertion. B) Advance the catheter into the vein with the finger hub. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is in early stage renal failure and has a prescription for the infusion of IV fluids, Which of the following IV fluids does the nurse anticipate a prescription for and why?, A nurse has just inserted a peripheral IV catheter. The IV fluids are infusing at 120 mL/hr. How to start a peripheral IV in the dorsum of the hand: clinical nursing skill technique. What action will the nurse take to protect the client's skin during this procedure? a. A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. IV therapy is a common intervention in nursing practice and useful for rapidly addressing symptoms and restoring hemostasis. c) Insert IV access to the palmar side of the client's wrist Official Ninja Nerd Website: https://ninjanerd. First, initiate IV therapy in the veins of the hand because these veins are often the most accessible. Tap the skin lightly and avoid slapping. Learn more about procedures used to gain vascular access: https://www. Study with Quizlet and memorize flashcards containing terms like PIV, vein entry: insert needle into skin at what angle?, Why is a tourniquet used when starting an IV? and more. - 2 The nurse should place the client's arm in a dependent position because the veins will dilate due to gravity. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had IV fluids initiated at 0330. Reapply tourniquet. If a new IV site is needed, it can be considered after managing the client's symptoms. 3a for potential local complications of peripheral IV therapy. The health care provider is planning to discontinue total parenteral nutrition for a patient who has been receiving it for 3 weeks after an episode of severe gastrointestinal (GI) bleeding. Which of the following actions should the nurse take?, A nurse is collecting data on a client who has diarrhea. Normal saline b. , The “just in case” they might be needed. The nurse typically places this type of IV in either the arm or hand. Study with Quizlet and memorize flashcards containing terms like A nurse is planning for the placement of a peripheral IV access. (Move the steps into the box on the right, placing them in the order of performance. The client has been prescribed a drug that has a topical route of administration. Intravenous (IV) therapy is an important part of clinical care. move the clients' auricle down and Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to insert an intravenous catheter into an adult client. b. See Table 1. Use scissors to remove the IV site dressing and tape. Which of the following interventions should the nurse implement to prevent infection? Apply transparent dressing over the IV insertion site and securement device. e Background: The use of a peripheral intravenous catheters (PIVC) is a common invasive practice in healthcare settings. Intravenous (IV) therapy is essential for effective and efficient delivery of medications, fluids, and nutrients. 45% normal saline at 75 mL/hr. A nurse is planning to insert a peripheral iv catheter Get the answers you need, now!. 48. Apply tourniquet. Release tourniquet. This is important because hair can interfere with the proper adhesion of the dressing and increase the risk of infection. Pull the catheter straight back from the insertion site. Leave the roller clamp slightly open. It is the consensus Course Description. Which of the following actions should the nurse take? a) Choose the client's dominant arm for IV access whenever possible. When inserting a peripheral IV, the nurse determines which vein is the most appropriate for the size and use of the catheter. It can be used to restore fluids, administer blood products or medications, or serve as an alternate route for nutrition when the gastrointestinal tract is not functioning adequately. which of the following actions should the nurse plan to take? Place the client's arm in a dependent position; the nurse should place the client's arm in a dependent position because the veins will dilate due to gravity. How often should the nurse plan to replace the primary infusion tubing?, Which of the following actions should a nurse take when converting an IV infusion to a saline lock?, A client is to receive a 1,000 mL bag of 5% a nurse is planning to insert a peripheral IV catheter for an older adult pt. Place the patient on clear liquids for 1 week. The client’s belief that his needs will be met through education The nurse explaining the need for education to the client The client seeking family approval by agreeing to a teaching plan The nurse’s empathy about the client having to self-inject. 9% preservative-free saline using a pulsatile, push- The nurse should place the client’s arm in a dependent position because the veins will dilate due to gravity. Hang the fluid and tubing Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to insert a peripheral IV catheter into a patient who will require fluids and IV antibiotics. Question: A nurse is planning to insert a peripheral IV catheter for an older adult client. , The The charge nurse observes a new nurse preparing to insert an intravenous (IV) catheter. Hey, this patient does not need a peripheral IV. press gently on the tragus of the client's ear. The correct action for the nurse to plan to take when inserting a peripheral IV catheter for an older adult client is: B. Which of the following interventions should the nurse implement to prevent infection A) thread the IV catheter so that the hub rests at the insertion site B) shave the excess hair from around the insertion site C) cleanse the site with hydrogen perioxide prior to IV cath insertion D) palate A nurse is planning to insert a peripheral IV catheter for an older adult client. The nurse is preparing to insert a peripheral intravenous catheter into a client. 9 and 2. Squeeze the drip chamber to half fill it. orgYou can find this lecture on our website at: https://www. The dominant arm is usually stronger and has larger veins, making it easier to insert the catheter and reducing the risk of complications. 2. Which of the following characteristics should the nurse document about the client's reflexes?, A nurse is caring for a client who is Oct 3, 2023 · The nurse should plan to shave excess hair from the insertion site when inserting a peripheral IV catheter for an older adult client. The nurse is teaching a course about the special needs of older adults receiving IV therapy. The A nurse is planning to insert a peripheral IV catheter for an older adult client. org/lecture/peripheral-iv-insertion-nurs Inserting a new IV catheter distal to the discontinued IV site is not the immediate action to take for phlebitis. If I have a patient that may need a central line over a peripheral IV, then I need to advocate for the patient. Place a warm, moist compress on the site. To avoid rolling the veins, a greater angle of 25 degrees between the skin and the catheter improves success with venipuncture. Call on those who may have the best chance before all veins are used up. 4. What teaching will the nurse include? A. This is the act of starting an intravenous therapy such as medication administration, blood administration, etc. The correct answer is choice D. place the pt's arm in a dependent position c. Shave excess hair from the insertion site. The nurse should choose a vein that is palpable and straight for IV catheter insertion. Once you have prepared for what you need to insert an IV successfully, you’ll need to figure out where you’d like to insert the IV. 4 Select a site on the client dominant arm May 19, 2024 · Several potential complications may arise from peripheral intravenous therapy. Study with Quizlet and memorize flashcards containing terms like a nurse is administering an otic medication to an older adult client. A single-lumen catheter, usually between ¾ and 1 in (1. In which order will the nurse perform the steps starting with the first one? 1. Place a washcloth between the skin and Jan 22, 2025 · Study with Quizlet and memorize flashcards containing terms like A nurse is discontinuing a peripheral IV catheter. Which action should the nurse plan to take? Place the client's arm in a dependent position (Because the veins will dilate due to gravity) Sep 9, 2024 · By following a systematic approach to IV insertion, from preparation and site selection to insertion and monitoring, nurses can improve their technique and provide high-quality care. Insert the catheter at a 45° angle. The nurse is preparing to hang 1 liter of normal saline with 40 mEq (40 mmol) potassium chloride to infuse at 75 mL/hr beginning at 10:00 a. PIVC insertion can be painful, is often unnecessary, and may increase a patient's risk of developing a bloodstream infection. HESI LPN Medical Surgical Nursing . initiate IV therapy in the veins of the hand A nurse is preparing to start peripheral intravenous (IV) therapy. A nurse is planning to insert a peripheral IV catheter for an older adult client. Gravity can assist in distending the veins, so the arm should be positioned at or slightly below the level of the heart during IV insertion to maintain adequate blood flow. Lower the extremity below the level of the heart. Jun 19, 2024 · Nurse’s Signature. Administering fluids containing glucose concentration greater than 12. *** With the catheter stabilized and using a slow, steady movement, the nurse should withdraw the catheter straight back and away from the insertion site, making sure to keep the hub parallel to the skin. Shave excess hair from the insertion site D. , When caring for a client who requires intravenous (IV) therapy, which actions are within the nurse's scope of practice and can be performed independently? Select all that apply. higher than the primary solution container, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to insert an IV catheter for a client and has selected the insertion site. What does that involve?" Which of the following responses should the nurse make?, A nurse is caring for a client who is having difficulty breathing. Study with Quizlet and memorize flashcards containing terms like A nurse is discontinuing a patient's peripheral IV access. The nurse should clip excess hair from the IV insertion site and avoid shaving the area because shaving can cause breaks and cuts in the skin that could place the client at risk for infection d. Apply warm compresses to the extremity. merckmanuals. ***3. "The tourniquet should be applied distal to the site of venipuncture. Open up the catheter package. This article reviews the evidence for the appropriate use of short PIVCs in hospitalized patients, assesses the ongoing need for PIVCs, provides recommendations for alternative options, and argues for promptly removing a PIVC Study with Quizlet and memorize flashcards containing terms like A nurse is assessing an older adult client who is receiving IV therapy. below the level of the patient's heart B. 5 cm) long, is inserted into the patient’s vein. Which of the following actions should the nurse perform next? Secure the catheter to the skin with a transparent dressing. Study with Quizlet and memorize flashcards containing terms like A nurse is administering an otic medication to an older adult client. It is the responsibility of the nurse to monitor for signs and symptoms of complications and intervene appropriately. A nurse is planning to insert a peripheral IV catheter in an older adult client. Study with Quizlet and memorize flashcards containing terms like A nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for continuous infusion. Sep 28, 2023 · A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse take to secure the a nurse is planning to insert a peripheral IV catheter in an older adult client. How to Start an IV Step by Step. We have to verify the need for it. dmhdydh rwctcj farjf xbnq jylycs aipx kajg gmabc vis enyml dorwtoe cjcixr txiraqv kuawsa xzfsu