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Author Question: When the client receiving IV fluids complains of pain from the infusion, the nurse should: a. ... (Read 93 times)

jlmhmf

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When the client receiving IV fluids complains of pain from the infusion, the nurse should:
 
  a. increase the rate of infusion to complete it sooner.
  b. gently move the hub of the needle to see if the pain decreases.
  c. Stop the infusion immediately and notify the health care provider.
  d. Document the client's response and monitor the site.

Question 2

A client's peripheral IV infusion set up was initiated three days ago. The nurse realizes that there is a need to:
 
  a. change the date on the IV site dressing.
  b. check to see if the IV prescription has changed.
  c. change the client's IV medications to an oral route.
  d. change (rotate) the IV site.



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elizabethrperez

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Answer to Question 1

ANS: B

Feedback
A Incorrect: This will worsen the pain regardless of the cause of the pain.
B Correct: If tension is the cause of the pain, gently moving the hub of the needle will decrease the pain. Always assess first.
C Incorrect: Many times, nursing assessment and interventions can eliminate the cause of the pain.
D Incorrect: Although appropriate, the nurse should assess for the cause of the pain and, if possible, eliminate the cause of the pain.

Answer to Question 2

ANS: D

Feedback
A Incorrect: The IV site and dressing should be changed. A new date needs to be placed on the dressing and the new IV tubing for the new infusion site.
B Incorrect: Although appropriate, this does not specifically address the information in the question that the client's IV was initiated three days (72 hours) ago.
C Incorrect: This is not within the nurse's scope of practice.
D Correct: The IV site and IV tubing should be changed every 48-72 hours to prevent complications.





 

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