IV therapy Saunders, Questions & Answers-A client is complaining of pain at the site of the intravenous (IV) infusion device. The nurse checks the IV site and determines that the client has developed phlebitis. Which action should the nurse take?
- Remove the IV.
A client who is receiving anti...
IV therapy Saunders, Questions & Answers
A client is complaining of pain at the site of the intravenous (IV) infusion device.
The nurse checks the IV site and determines that the client has developed phlebitis.
Which action should the nurse take?
- Remove the IV.
A client who is receiving antineoplastic medication by the intravenous (IV) route
complains of pain at the insertion site of the IV. The nurse inspects the site and
finds the area is swollen and reddened. The nurse further observes that the solution
is no longer infusing. The nurse immediately takes which priority nursing action?
- Notifies the registered nurse (RN)
The nurse has been assigned to the care of four adult clients who are receiving
continuous intravenous (IV) infusions. The nurse planning the work assignment for
the shift makes a notation to check the IV sites of these clients at which time
interval?
- Every hour
The nurse notes that the site of a client's peripheral intravenous (IV) catheter is
reddened, warm, painful, and slightly edematous proximal to the insertion point of
the IV catheter. Based on these findings, the initial nursing action is which?
- Remove the IV.
The nurse notes the appearance of skin breakdown on a client's hand at the site of
an intravenous catheter that had medication infusing. The nurse determines that
which adverse effect occurred? Refer to figure.
- Extravasation
The nurse administering medications to a client notes a prescription to give a
subcutaneous dose of heparin sodium. The nurse should perform which action to
give this medication safely?
- Give the injection using a 25- to 27-gauge, ⅝-inch needle.
, The nurse has been instructed to remove an intravenous (IV) line. The nurse
removes the catheter by withdrawing the catheter while applying pressure to the
site with which item?
- Sterile 2 × 2 gauze
The nurse hangs a 1000-mL bag of intravenous (IV) fluid on an assigned client.
Forty-five minutes later, the nurse notes that the client is complaining of a
pounding headache, is dyspneic, is apprehensive, and has an increased pulse rate.
The IV bag has 500 mL remaining. The nurse should take which action?
- Shut off the IV infusion.
The nurse is checking the insertion site of a peripheral intravenous (IV) catheter.
The nurse notes the site to be reddened, warm, painful, and slightly edematous in
the area of the vein proximal to the IV catheter. The nurse interprets that this is
likely the result of which?
- Phlebitis of the vein
The nurse is assisting in caring for a client who is receiving morphine sulfate by
continuous intravenous infusion. The nurse ensures that which medication is
readily available if a morphine overdose occurs?
- Nalmefene (Revex)
The nurse is doing a routine assessment of a client's peripheral intravenous (IV)
site. The nurse notes that the site is cool, pale, and swollen and that the IV has
stopped running. The nurse determines that which has probably occurred?
- Infiltration
The nurse is checking a peripheral intravenous (IV) site and notes blanching,
coolness, and edema at the site. The nurse should do which first?
- Remove the IV.
The nurse has a prescription to give ear drops to a 2-year-old child. To administer
the drops, the nurse should pull the pinna of the ear in which direction?
- Downward and backward
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