A client, who is receiving intravenous chemotherapy into a peripheral vein, says that the arm burns terribly in and around the intravenous site. What is the nurse's best first action?
Slow the rate of infusion
Apply a warm compress to the site
Discontinue the infusion
Check for blood return
The Correct Answer is C
A. Slowing the rate of infusion may provide some temporary relief, but it does not address the underlying issue and may worsen the situation.
B. Applying a warm compress may soothe discomfort but is not the priority action when a burning sensation is reported, which could indicate potential extravasation.
C. Discontinuing the infusion is the best first action to prevent further damage to the tissue and to assess for complications such as infiltration or extravasation.
D. Checking for blood return can help assess the patency of the IV line, but the priority is to stop the infusion immediately to prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12"]
Explanation
- Calculate the dilution factor of the insulin solution:
- Dilution factor = Total volume / Insulin units
- Dilution factor = 150 mL / 75 units
- Dilution factor = 2 mL/unit
- Determine the volume of the insulin solution needed to deliver 6 units/h:
- Volume = Desired dosage * Dilution factor
- Volume = 6 units/h * 2 mL/unit
- Volume = 12 mL/h
Correct Answer is ["62.5"]
Explanation
To determine the IV pump rate, we need to calculate the flow rate in milliliters per hour (mL/h).
Given:
- Total volume: 500 mL
- Infusion time: 8 hours
Calculation:
- Flow rate = Total volume / Infusion time
- Flow rate = 500 mL / 8 hours
- Flow rate = 62.5 mL/h
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