After inserting a peripheral IV into the client, which does the nurse include in client teaching about the IV insertion site?

1. Expect minor pain at insertion site.
2. Report redness at the insertion site.
3. Remain on bed rest with IV infusion.
4. Disconnect IV tubing to change gown.


2
2. The nurse instructs the client to report redness at the insertion site for early detec-tion of IV complications, including infection and phlebitis.
1. The IV site should cause very little discomfort if the infusion is proceeding without problems. Pain associated with an IV infusion indicates vein irritation from infusing fluid, irritating medication, infection, or phlebitis.
3. Clients with IV infusions are not confined to bed.
4. The nurse instructs the client to call for help when changing the gown because, if the gown has no snaps at the shoulder, the nurse must feed the IV tubing and bag through the gown's opening to change gowns.

Nursing

You might also like to view...

During which phase of the nurse-patient relationship can a nurse anticipate that patient issues will be explored and resolved?

a. Pre-orientation b. Orientation c. Working d. Termination

Nursing

In preparation for a transesophageal echocardiography, the nurse must

A) instruct the patient to drink 1 liter of water before the test. B) heavily sedate the patient. C) inform the patient that blood pressure (BP) and electrocardiogram (ECG) monitoring will occur throughout the test. D) inform the patient that an access line will be initiated in the femoral artery.

Nursing

A new nurse is caring for a patient from Appalachi

a. The patient seems guarded and secretive, which frustrates the new nurse. What advice from the mentor is most appropriate? a. "Maybe you should ask to change your assignment." b. "This is a normal behavior for this pa-tient's cultural group." c. "You could try to apologize for anything you may have done." d. "Ask the patient why she is acting so strangely around you."

Nursing

An 18-year-old client is feeling awkward about the fact that she has been attracted to women since she was 15 . The client complains that she has trouble maintaining heterosexual relationships, and she is confused about her sexual identity

Which of the following nursing interventions should the nurse perform when caring for this client? A) Provide education about sex and safer sex practices. B) Monitor the client for developing risk of suicide. C) Encourage the client to join a heterosexual community. D) Provide referrals for mental counseling to the client.

Nursing