NCLEX-PN

Category - Pharmacological Therapies

The nurse is caring for a client who is receiving an infusion of dextrose 5% at 100 mL per hour. On assessment, the nurse notes that the insertion site is red, hot, and tender. The rate of infusion is at 80 mL per hour during the assessment. Which of the following actions is the initial action of the nurse?
  1. Slow down the rate of infusion
  2. Ask the client how the site feels
  3. Application of a warm compress to the insertion site
  4. Stop the infusion
Explanation
Answer: D -The initial action of the nurse when caring for a client with phlebitis is to stop the infusion. Application of a warm compress may be done after the IV is removed. The other options are not appropriate.
Was this helpful? Upvote!
Login to contribute your own answer or details

Top questions

Related questions

Most popular on PracticeQuiz