What should the nurse do upon noting that the patient's IV site ...

[Mimi]

What should the nurse do upon noting that the patient's IV site is pale, cool, and edematous? (Select all that apply.)
 
  a. Stop the infusion.
  b. Elevate the extremity.
  c. Start a new IV.
  d. Flush the IV site.

Question 2

Which of the following is an appropriate technique for the nurse to use when performing sterile gloving?
 
  a. Put the glove on the nondominant hand first.
  b. Interlock the hands after both gloves are applied.
  c. Pull the cuffs down on both gloves after gloving.
  d. Grasp the outside cuff of the other glove with the gloved hand.

[LVPMS]

Answer to Question 1

A, B, C
Infiltration is indicated by swelling and possible pitting edema, pallor, coolness, pain at the insertion site, and a possible decrease in flow rate. The nurse should stop the infusion and should discontinue the IV, elevate the affected extremity, start a new IV if continued therapy is necessary, and document the degree of infiltration and nursing intervention. Flushing the IV site is not recommended.

Answer to Question 2

B
After the second glove is on, interlock the hands above waist level. Be sure to touch only sterile sides. Gloving of the dominant hand first improves dexterity. The cuffs usually fall down after application. With a gloved dominant hand, slip fingers underneath the second glove's cuff. The cuff protects gloved fingers. Sterile touching sterile prevents glove contamination.

[Mimi]

Thank you!

[LVPMS]

Always glad to help...