The nurse is monitoring an IV line for a client who is receiving IV antibiotics. Which of the following is a recommended guideline when caring for the client receiving IV therapy?
A) If signs of infiltration exist, remove the device and use a new IV setup.
B) Be sure to replace IV bags before they are totally empty.
C) Irrigate the IV to determine patency.
D) Write on an IV bags with a felt tip marker or pen to label the date/time.
B
Feedback:
It is important for the designated nurse to replace IV bags before they become totally empty because it is hazardous for the client if air has collected in the tubing. If signs of infiltration exist, the nurse should stop the infusion and report the situation immediately; the provider will determine if the infusion should continue or be discontinued. The IV is not irrigated to determine patency because if a clogged or stopped IV has caused a blood clot in the vein, the clot could be dislodged, which would be life threatening. The nurse should not write on an IV bag with a felt tip marker or pen because the ink may penetrate the plastic bag and contaminate the IV fluid or the tip of a pen could pierce the bag.
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