When thrombophlebitis is suspected in a client receiving antimicrobial agents, the nurse should:
a. check for venous backflow. c. restart the infusion in a different site.
b. discontinue the infusion. d. apply warm, moist packs to the skin.
ANS: B
Feedback
A Incorrect: This is an action related to infiltration.
B Correct: If the client experiences manifestations of thrombophlebitis, the infusion should be discontinued immediately. When antimicrobials infuse too fast for the size of the vascular access vein, thrombophlebitis often occurs.
C Incorrect: Although appropriate, the nurse's first action is to stop the current infusion.
D Incorrect: Although appropriate, the nurse's first action is to stop the current infusion.
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