A hospitalized child is receiving calcium via a peripheral IV site. Which action by the nurse is most important?
A.
Assess the IV for blood return hourly.
B.
Document the infusion and child's response.
C.
Facilitate the next blood draw for calcium.
D.
Teach parents and child about the drug.
ANS: A
Intravenous calcium infusions can cause extravasation if they infiltrate, so the nurse ensures the IV line is patent by checking the site and blood return frequently. The other actions are important as well, but for patient safety, monitoring the IV is the priority.
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