For a client with a peripheral IV, the nurse suspects phlebitis ...

[erika]

For a client with a peripheral IV, the nurse suspects phlebitis as a result of observing:
 
  A. Erythema along the vein path
  B. Edema around the insertion site
  C. Tachycardia and hypertension
  D. Decreased skin temperature

Question 2

A responsibility of a nurse during the assessment and maintenance of a peripheral IV site is:
 
  A. Inspection of the insertion site
  B. Changing of the site every 24 hours
  C. Having the client keep the arm elevated
  D. Putting up new solution when the bag or bottle is completely emptied

[yahahah24021]

Answer to Question 1

A
A. Phlebitis is indicated by pain, increased skin temperature, erythema along path of vein.
B. Infiltration at site is indicated by swelling and possible pitting edema, pallor, coolness, pain at insertion site, possible decrease in flow rate.
C. Fluid volume deficit (FVD) is manifested by decreased urine output, dry mucous membranes, decreased capillary refill, a disparity in central and peripheral pulses, tachycardia, hypotension, shock.
D. Phlebitis is indicated by pain, increased skin temperature, erythema along path of vein.

Answer to Question 2

A
A. Inspect insertion site; note color. Inspect for presence of swelling. Palpate temperature of skin above dressing.
B. Peripheral IV access should be changed every 72 to 96 hours.
C. Instruct client to position arm to maintain flow.
D. When solution has less than 100 ml remaining, next solution should be available at client's bedside.

[erika]

Gracias!

[T4T]

TYSM