Which of the following should the nurse assess to determine if a client's intravenous infusion has infiltrated?
1. A blood return
2. Size of extremity
3. Presence of pain
4. Presence of a temperature
2
If infiltration is suspected, the nurse should compare both arms. The dominant arm should be a bit larger, but a significant difference in size could mean infiltration. A blood return may still be visible with an infiltrated intravenous line. A lack of a blood return does not always mean the cannula is no longer in the vein since some cannulas can collapse when aspirating from them. Presence of pain could be due to the solution type. Hypertonic solutions cause more pain. The presence of a temperature could mean a variety of health conditions and not necessarily an infiltration.
You might also like to view...
A patient in her late fifties has expressed to the nurse her desire to explore hormone replacement therapy (HRT). Based on what aspect of the patient's health history is HRT contraindicated?
A) History of vaginal dryness B) History of hot flashes and night sweats C) History of vascular thrombosis D) Family history of osteoporosis
A nurse practitioner wishes to send e-mail to all clients on a distribution list without displaying the e-mail addresses of those on the list to the recipients. Which of the following will appropriately accomplish this task?
1. Include the nurse practitioner's e-mail address as primary recipient and the client addresses as carbon copies (CC). 2. The nurse practitioner must send a separate message to each individual client as primary recipient. 3. Include the nurse practitioner's e-mail address as primary recipient and the client addresses as blind copies (BCC). 4. Include the recipient e-mail addresses as primary recipients and the nurse practitioner's address as a blind copy (BCC).
Worldwide, the most frequent cause of death from a single agent is:
1. AIDS 2. Malaria 3. Hepatitis 4. Tuberculosis
A dash of quinine is sometimes added to street "heroin" in order to
A. simulate the bitter taste of real heroin B. make the heroin more injectable C. strengthen the effect of the heroin D. weaken the effect of the heroin