Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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A nurse notes that the site of the client’s intravenous catheter is slightly edematous and cool. Blood return is not observed upon lowering the IV fluid below the IV site. Which of the following nursing actions is not appropriate for this client?
  1. Removing the intravenous device immediately
  2. Rubbing or massaging the infiltrated area
  3. Elevating the affected extremity
  4. Application of warm or cool compresses over the site
Explanation
Answer: B - An infiltrated site is not rubbed or massaged, as it can cause the development of hematoma. The other options are appropriate.
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