The nurse is preparing to give a medication by IV bolus. When ...

[HudsonKB16]

The nurse is preparing to give a medication by IV bolus. When assessing the patient's IV insertion site, the nurse notes that it is warm, reddened, and tender. What action should the nurse take first?
 
  a. Slow the infusion rate and slowly inject the medication.
  b. Discontinue the IV infusion.
  c. Inject a local anesthetic to relieve the tenderness.
  d. Apply warm compresses over the insertion site.

Question 2

The client with a chronic obstructive respiratory disease is receiving oxygen via a nasal cannula. The nurse plans to include the following intervention in the client's care:
 
  A. Assess nares for skin breakdown every 6 hours
  B. Check patency of the cannula every 2 hours
  C. Inspect the mouth every 6 hours
  D. Check oxygen flow every 24 hours

[JCABRERA33]

Answer to Question 1

B
Swelling, warmth, redness, and tenderness indicate infiltration or phlebitis. Stop the IV infusion, remove the IV catheter, treat the IV site as indicated by institutional policy, and insert a new IV catheter if therapy continues.

Answer to Question 2

A
A. The nurse caring for the client with a nasal cannula should plan to assess the client's nares and superior surface of both ears for skin breakdown every 6 hours.
B. The nurse should check patency of the cannula every 8 hours.
C. The nurse does not need to check the client's mouth in relation to the client's use of a nasal cannula. The nurse should continue providing oral hygiene and may assess the mouth (i.e., tongue) for cyanosis, along with other assessment measures.
D. Oxygen flow should be checked every 8 hours, not every 24 hours.

[HudsonKB16]

Both answers were spot on, thank you once again

[JCABRERA33]

Great! Please up vote