A nurse is caring for a client with phlebitis. The nurse notices ...

[ETearle]

A nurse is caring for a client with phlebitis. The nurse notices that the client's forearm, which has the tubing, has become red and slightly warm.
 
  Which of the following actions should the nurse perform to avoid further complications and provide relief to the client?
 
  A) Administer oxygen.
  B) Call for help.
  C) Discontinue the IV promptly.
  D) Elevate the affected arm.

Question 2

A client with dehydration is being administered IV fluids. During her rounds, the nurse noticed that the skin immediately surrounding the IV site was reddish in color and showing signs of inflammation.
 
  The nurse recognizes that what phenomenon is likely responsible?
 
  A) Phlebitis
  B) Thrombus formation
  C) Pulmonary embolus
  D) Air embolism

[medine]

Answer to Question 1

Ans: C
When there is phlebitis, the nurse should discontinue the IV promptly and apply warm compresses to the affected site to provide immediate relief to the client. The nurse elevates the client's affected arm when there is infiltration. When there is pulmonary embolus, the nurse should call for help and administer oxygen.

Answer to Question 2

Ans: A
The nurse should record that the client has phlebitis, which is an inflammation of the vein. Thrombus formation is a situation in which there is a stationary blood clot. Pulmonary embolus is a situation in which the blood clot travels to the lung. Air embolism is a bubble of air traveling within the vascular system.

[ETearle]

Excellent

[mcabuhat]

TYSM