Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

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A nurse finds that the site of a client’s intravenous catheter is reddened, warm, and slightly edematous. The client complains of pain. The immediate action of the nurse is to:

Notify the physician
Apply warm and moist compresses
Irrigate the catheter
Remove the IV immediately and restart in the opposite extremity

Explanation

Answer: D - The client is experiencing phlebitis. Removing the IV and restarting in the opposite extremity is the nurse’s immediate action. Options A and B are appropriate, but they are not the nurse’s immediate actions. The catheter must not be irrigated.

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