CCRN Critical Care Nursing

Category - Neonatal

The attending neonatologist has ordered intravenous fluid for baby Joseph. The neonatal nurse has appropriately decided to use an umbilical venous line. What should the neonatal nurse assess for before beginning the intravenous fluid?
  1. Blanching on the lower extremities.
  2. Blanching on the buttocks.
  3. Blue discoloration.
  4. All of the above.
Explanation
Answer: D - The neonatal nurse should assess for blanching on the lower extremities, blanching on the buttocks and blue discoloration before administering the intravenous fluid. Since the intravenous fluid is being administered through an umbilical venous line it is important to note these signs before intravenous fluid administration to document any changes within these areas.
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