When preparing an intravenous infusion the nursing action ...

[melina_rosy]

When preparing an intravenous infusion the nursing action necessary to prevent air embolism is:
 
  a. maintain sterile technique during setup.
  b. ensure that electronic infusion pump is set for proper rate and volume.
  c. prime the tubing of the intravenous administration set.
  d. ensure that the client has a patent vascular access.

Question 2

The nurse assesses the client's IV site and determines that it has infiltrated. The nurse's best response is to:
 
  a. call the health care provider
  b. immediately stop the IV infusion.
  c. apply a cold compress and slow the rate of infusion.
  d. complete an incident report.

[dantucker]

Answer to Question 1

ANS: C

Feedback
A Incorrect: This action prevents infection but does not prevent air embolism.
B Incorrect: This action ensures that the client receives the prescribed rate of infusion.
C Correct: Priming the tubing prevents air embolism.
D Incorrect: Although the most significant factor for IV infusions, it does not prevent air embolism.

Answer to Question 2

ANS: B

Feedback
A Incorrect: This is not the nurse's first action.
B Correct: The nurse should immediately stop the infusion, so that no more fluid flows into the tissues surrounding the vein to prevent further tissue trauma.
C Incorrect: After stopping the infusion, the nurse should follow the protocol of the institution regarding how to treat the site.
D Incorrect: An incident or variance report generally is not initiated unless serious tissue damage has occurred.

[melina_rosy]

Gracias!

[mcabuhat]

Excellent