RNSG 1213 Module 8

RNSG 1213 Module 8 A nurse notes that the site of a client’s peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous near the insertion point of the catheter. On the basis of this assessment, the nurse should take which action first? A. Slow the rate of infusion B. Remove the IV catheter Correct C. Check for loose catheter connections D. Notify the health care provider A nurse hangs a 500-mL bag of intravenous (IV) fluid for an assigned client. One hour later the client complains of chest tightness, is dyspneic and apprehensive, and has an irregular pulse. The IV bag has 100 mL remaining. Which action should the nurse take first? A. Sit the client up in bed B. Remove the IV C. Slow the rate of infusion D. Shut off the IV infusion Correct A nurse discontinues an infusion of a unit of packed red blood cells (RBCs) because the client is experiencing a transfusion reaction. After discontinuing the transfusion, which action should the nurse take next? A. Contact the health care provider Correct B. Change the solution to 5% dextrose in water C. Remove the IV catheter D. Obtain a culture of the tip of the catheter device removed from the client