A client is diagnosed with an extravasation of a intravenous ...

[Mr3Hunna]

A client is diagnosed with an extravasation of a intravenous medication. Which of the following should the nurse do to assist this client?
 
  1. Remove the catheter and apply heat.
  2. Place the extremity lower than the level of the heart.
  3. Keep the catheter intact until an antidote is administered.
  4. Apply ice over the site until the swelling subsides.

Question 2

A client diagnosed with a terminal illness is receiving an opioid/acetaminophen combination for pain control. The nurse realizes this client is being managed at which step of the World Health Organization approach to pain management?
 
  1. Step 1
  2. Step 2
  3. Step 3
  4. Step 4

[stanleka1]

Answer to Question 1

3
If extravasation occurs, the cannula should not be removed until it is determined if an antidote exists. If an antidote exists, instill it through the cannula into the area of extravasation. Then the cannula can be removed and the extremity elevated. Heat or cold should be applied according to the medication which extravasated.

Answer to Question 2

2
The World Health Organization approach to pain management involves three steps. Step 1: Clients are treated with around-the-clock doses of nonopioids. Step 2: The use of opioid/acetaminophen combinations are used to treat mild to moderate pain. Step 3: Strong opioids are used. There is no Step 4 in the World Health Organization's approach to pain management.