When caring for a child with an intravenous (IV) infusion, what is an appropriate nursing action?
a. Change the insertion site every 24 hours.
b. Check the insertion site frequently for signs of infiltration.
c. Use a macrodropper to facilitate reaching the prescribed flow rate.
d. Avoid restraining the child to prevent undue emotional stress.
ANS: B
The nursing responsibility for IV therapy is to calculate the amount to be infused in a given length of time; set the infusion rate; and monitor the apparatus frequently, at least every 1 to 2 hours, to make certain that the desired rate is maintained, the integrity of the system remains intact, the site remains intact (free of redness, edema, infiltration, or irritation), and the infusion does not stop. Insertion sites do not need to be changed every 24 hours unless a problem is found with the site. This exposes the child to significant trauma. A minidropper (60 drops/ml) is the recommended IV tubing in pediatric patients. Intravenous sites should be protected. This may require soft restraints on the child.
You might also like to view...
The nurse is assisting with the sponge and instrument count in the operating room. The operative phase in which the nurse is assisting is called the
a. perioperative phase. b. preoperative phase. c. intraoperative phase. d. postoperative phase.
A nurse is performing an intake examination on a patient with peripheral vascular disease (PVD). Which lifestyle information identified by the patient aggravates vascular disease?
a. Riding a bicycle to work b. Drinking red wine every day c. Being employed as an air traffic controller d. Eating chocolate candy every day
The nurse is teaching safety to a patient with a dulled sensitivity to touch. What statement by the patient demonstrates understanding?
1. "I have to be careful around hot liquids such as water for my coffee." 2. "If I wear my winter gloves all of the time, I won't get hurt." 3. "I should use the back of my hands to test temperatures of liquids." 4. "I have a high tolerance to pain so I'll be okay."
The nurse is screening children before they enter preschool. Which is the expected visual acuity for preschool-age patients?
1) 20/20 2) 20/40 3) 20/60 4) 20/100