Which of the following assessments would indicate that a ...

[evelyn o bentley]

Which of the following assessments would indicate that a patient's IV has infiltrated? (Select all that apply.)
 
  a. Edema of the extremity near the insertion site
  b. Skin discolored or bruised in appearance
  c. Pain and warmth at the insertion site
  d. Skin cool to the touch
  e. Reddish streak proximal to the insertion site
  f. Numbness or loss of sensation
  g. Palpable venous cord

Question 2

The nurse is caring for a patient with hyperkalemia. Which body system would be most important for the nurse plan to monitor closely?
 
  a. Gastrointestinal
  b. Neurological
  c. Cardiac
  d. Respiratory

[chloejackso]

Answer to Question 1

ANS: A, B, D, F
Infiltration results in skin that is edematous near the IV insertion site. Skin is cool to the touch and may be bruised or discolored, and the patient may experience some numbness. Pain, warmth, erythema, a reddish streak, and a palpable venous cord are all symptoms of phlebitis.

Answer to Question 2

ANS: C
Potassium balance is necessary for cardiac function. Hyperkalemia places the patient at risk for potentially serious dysrhythmias. Monitoring of gastrointestinal, neurological, and respiratory systems would be indicated for other electrolyte imbalances.

[evelyn o bentley]

YES! Correct, THANKS for helping me on my review

[komodo7]

Gracias!