Author Question: Which assessment finding is most consistent with an IV infusion that has infiltrated? a. a ... (Read 110 times)

CQXA · **on:** Jul 22, 2018

Which assessment finding is most consistent with an IV infusion that has infiltrated?

a. a reddened area c. a red stripe along the vein
b. warmth along the vein d. a cool area near the infusion site

Question 2

The mother of a 1-month-old infant calls the nurse who works in the health clinic. The mother is concerned because the infant has had vomiting and diarrhea for 2 days. What instruction should the nurse give this infant's mother?

1. Bring the infant to the clinic for evaluation.
2. Give the infant at least 2 ounces of juice every 2 hours.
3. Measure the infant's urine output for 24 hours.
4. Provide the infant with 50 mL of glucose water.

maya.nigrin17@yahoo.com · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Coolness and paleness of skin are indications of infiltration. A reddened area or pink or red stripe along the vein, warmth, and swelling are indications of phlebitis.

Answer to Question 2

1. Bring the infant to the clinic for evaluation.

Rationale:
Parents and caregivers need to be taught the seriousness of vomiting or diarrhea in infants due to rapid fluid loss that can occur in this age group. They should also be taught the importance of bringing an infant in this situation to health care providers for evaluation. Encouraging fluids for an infant who is actively vomiting will not improve fluid balance status, nor is juice or glucose water the best choice of fluid. Simply monitoring the loss over the next 24 hours would increase the potential for the infant to become dehydrated.