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CCRN Critical Care Nursing

Category - Pediatrics

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What nursing action should be done in an infant who receives IVF via a scalp vein:

restrain the extremities when there’s no one to see the child.
assess for signs of infiltration behind the occiput
assess the pupils every 1 hour for any untoward reaction.
explain to the parents that they cant hold the client while the IV therapy is ongoing.

Explanation

Answer: A - Extremities need to be restrained as infants use them to dislodge the needle. Pupillary reaction and assessing at the occiput do not relate to scalp vein and IV therapy.

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