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. [Show More]
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