A nurse is caring for a patient who is in hypertensive crisis. When the nurse is flushing the patient's peripheral IV, the patient complains of pain. Upon assessment, the nurse notices a red streak that is warm to the touch
What is the nurse's initial action? a. Notify the physician.
b. Administer pain medication.
c. Discontinue the IV.
d. Apply a cool compress to the site.
D
The patient has phlebitis; the initial nursing action would be to apply a cool compress. The nurse should start a new IV before discontinuing the old one because it is important to always have an IV access site in case of emergency. Then the physician can be notified. Pain medication may need to be administered.
You might also like to view...
A pregnant woman is helping her elderly father with taking his medications. He is taking dutasteride (Avodart). The nurse will instruct the daughter to do what?
A) Crush the tablets to help facilitate swallowing. B) Avoid touching any crushed or broken tablets. C) Avoid direct contact with her father while he is on the medication. D) Use a barrier contraceptive while helping her father prepare the drug.
A patient is prescribed vitamin B12 injections. What information should the nurse provide when starting this medication?
1. "Vitamin B12 will strengthen the red blood cells' membranes and prevent them from being damaged so easily." 2. "Vitamin B12 is needed for normal manufacture of red blood cells." 3. "Vitamin B12 will increase the ability of your blood to carry oxygen." 4. "Vitamin B12 helps build the components of white blood cells."
Which is a priority nursing assessment the nurse includes in the plan of care for a pediatric client who has received a cochlear implant?
1. Ringing in the ears 2. Pharyngitis 3. Hearing loss 4. Bacterial meningitis
Calculation of the maintenance dose of a drug depends primarily on
a. clearance b. half-life c. volume of distribution