A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the order the nurse should perform the following actions.

(Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.).

Remove the IV catheter.

Apply warm or cold compresses.

Stop the infusion.

Apply a sterile dressing.

Elevate the extremity.

Answer and Explanation

The Correct Answer is C,A,E,B,D

Here's the correct order of actions for managing an IV infiltration: C. Stop the infusion. (This is the priority action to prevent further infiltration.) A. Remove the IV catheter. (Once the infusion is stopped, the source of the infiltration needs to be removed.) E. Elevate the extremity. (This helps reduce swelling.) B. Apply warm or cold compresses. (This helps reduce discomfort and swelling. Warm compresses are generally used for non-vesicant solutions, while cold compresses are used for vesicant solutions, or as ordered. The type of fluid infiltrated is important to know.) D. Apply a sterile dressing. (This protects the insertion site and prevents infection.)

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Correct Answer is B

Explanation

Choice A rationale:
Aphasia, or difficulty with language, is typically associated with left hemisphere strokes.
Choice B rationale:
Right hemisphere strokes often result in difficulty recognizing familiar people and objects.
Choice C rationale:
Right hemiparesis, or weakness on the right side of the body, is typically associated with left hemisphere strokes.
Choice D rationale:
Difficulty reading is typically associated with left hemisphere strokes.

A. "Examine your feet carefully every day.”. B. "Maintain stable blood glucose levels.”. C. "Have an eye examination once per year.”. D. "Wear compression stockings daily.”.

Correct Answer is B

Explanation

Choice A rationale:
Examining feet daily is important for preventing complications related to peripheral neuropathy, not retinopathy or nephropathy.
Choice B rationale:
Maintaining stable blood glucose levels can help prevent microvascular complications such as retinopathy and nephropathy.
Choice C rationale:
Annual eye examinations are important, but they do not prevent retinopathy.
Choice D rationale:
Wearing compression stockings daily is not directly related to preventing retinopathy or nephropathy.

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A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the order the nurse should perform the following actions. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.).

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A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the order the nurse should perform the following actions.

(Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.).