Introduction
Introduction ( 7 Questions)
A client is receiving an intravenous (IV) infusion of potassium chloride. The nurse notices that the infusion site is red, swollen, and painful. The nurse suspects that the client has developed phlebitis. Which of the following actions should the nurse take first?
The nurse should stop the infusion and remove the IV catheter as soon as possible if phlebitis is suspected. Phlebitis is inflammation of a vein that can be caused by mechanical, chemical, or infectious factors. Potassium chloride is a vesicant medication that can cause severe tissue damage if it extravasates into the surrounding tissues.
The nurse should apply a warm compress to the infusion site after removing the IV catheter to reduce inflammation and discomfort. The nurse should notify the provider and obtain an order for a different IV site to continue the infusion of potassium chloride at a different location.
The nurse should not slow down the infusion rate and monitor the client because this could worsen the condition and increase the risk of complications.
This is an appropriate action after removing the IV catheter, but not before.
This is an appropriate action after removing the IV catheter and applying a warm compress, but not before.
This is not an appropriate action because it could worsen the condition and increase the risk of complications.
The nurse should stop the infusion and remove the IV catheter as soon as possible if phlebitis is suspected. Phlebitis is inflammation of a vein that can be caused by mechanical, chemical, or infectious factors. Potassium chloride is a vesicant medication that can cause severe tissue damage if it extravasates into the surrounding tissues.
The nurse should apply a warm compress to the infusion site after removing the IV catheter to reduce inflammation and discomfort. The nurse should notify the provider and obtain an order for a different IV site to continue the infusion of potassium chloride at a different location. The nurse should not slow down the infusion rate and monitor the client because this could worsen the condition and increase the risk of complications.
b) Incorrect. This is an appropriate action after removing the IV catheter, but not before.
c) Incorrect. This is an appropriate action after removing the IV catheter and applying a warm compress, but not before.
d) Incorrect. This is not an appropriate action because it could worsen the condition and increase the risk of complications.