The nurse is caring for a client with an IV line continuously ...

[melly21297]

The nurse is caring for a client with an IV line continuously infusing solution containing dextrose and water.
 
  The client complains of a burning pain along the course of the vein, and the nurse assesses the site to find redness, warmth, and mild swelling at the site. Based on these assessment findings, which term will the nurse use when documenting these findings?
  1. Phlebitis at the IV insertion site
  2. IV infiltrate
  3. Extravasated vesicant drug
  4. Extravasation

Question 2

The nurse is initiating IV therapy for an adult client who requires IV fluid infusion for 2-3 days and might require blood administration.
 
  Which would the nurse choose as the best option for IV catheterization?
  1. Butterfly
  2. Huber needle
  3. Angiocatheter
  4. Implantable venous access device

[elyse44]

Answer to Question 1

Correct Answer: 1

Redness, warmth, edema, and pain that runs along the course of the vein characterize phlebitis. Dextrose and water are not vesicants, and do not require immediate intervention. An infiltrate is defined as fluid entering the tissues, resulting in swelling, coolness, pallor, and discomfort at the site. This client's site is red and warm, not cool and pale, so it is not an infiltrate. Extravasation includes a vesicant drug (one that causes blistering when in the tissues but not in the vascular system), so this is not an extravasation.

Answer to Question 2

Correct Answer: 3

An angiocatheter would be the best choice because the needle is removed and only the catheter remains in place, so it is more likely to last for 2 days without infiltrating. A butterfly can be used, if necessary, for IV catheterization, but is best when used for short-term IV infusion, as the needle remains in place within the vein, and is more likely to infiltrate sooner than is an angiocatheter. A Huber needle is used to access an implantable venous access device, and would not be used for short-term use of a few days. Implantable venous access devices are used when IV fluid needs are anticipated for several months.

[melly21297]

Correct answers!

[elyse44]

Great! Please up vote