List the nursing actions in the correct sequence for a patient with an infiltrated IV. Separate letters by a comma and space as follows: A, B, C, D
A. Contact the physician.
B. Inspect for signs of injury.
C. Apply warm, moist compresses.
D. Discontinue the infusion.
ANS:
B, D, A, C
Whenever an IV infiltration is discovered, the infusion site must be carefully inspected for signs of injury. The infusion is discontinued and the physician contacted, especially if necrosis, sloughing, blistering, or unusual swelling is seen. Warm, moist compresses should be applied to the area.
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