The nurse who is monitoring an IV site for a client receiving normal saline watches out for the signs and symptoms of infiltration. Which of the following is a sign of this adverse condition?
A) Swelling
B) Skin hot to the touch
C) Feeling of softness in the area
D) No fluid evident around the catheter
A
Feedback:
Signs of infiltration include swelling or puffiness, coolness, pain at the insertion site (sometimes), feeling of hardness in the area, and possible leaking of fluid evident around the catheter. The area feels cool, because IV solutions are typically at room temperature, which is cooler than body temperature. The fluid may be leaking around the site, even though the catheter is in the vein; this can indicate that the flow of fluid is too fast.
You might also like to view...
An adult client and his nurse have collaboratively calculated the client's maximum heart rate for his age. The client has no major health problems but has very minimal experience with performing fitness exercise
The client's target heart rate during exercise should be no more than what approximate percentage of his maximum heart rate? A) 35% B) 50% C) 65% D) 80%
A client whose medical diagnosis is hepatic encephalopathy is admitted to the hospital. The client
has abused alcohol for 20 years. The attitude on the part of the nurse assigned to care for the client that would be most detrimental to establishing an effective nurse-client relationship is perceiving that the client a. has a serious physical condition. b. did it to himself and is getting what he deserves. c. will respond best to a calm, caring approach. d. is challenging, requiring skill in both physical and emotional care.
Which statement about diverticular disease is true?
a. Most diverticula occur in the sigmoid colon b. Diverticula are uncomfortable even when not inflamed c. High-fiber diets contribute to diverticula d. Diverticula form where intestinal wall muscles are weak
A child is suspected of having neurally mediated syncope. Which diagnostic test does the nurse prepare the child for?
A. Cerebral angiogram B. Coronary angiogram C. Echocardiogram D. Tilt table test