A nurse is caring for a client who has a peripheral IV infusion and notes that the client's arm is edematous, cool, and tender at the catheter insertion site. Which of the following complications of IV therapy should the nurse suspect?

Choice A Reason:
"I wish my sexual relationship with my partner was like it was before." This statement indicates a desire to return to the previous state, implying a sense of dissatisfaction or longing for the way things were before the ileostomy surgery, rather than acceptance of the current situation.
Choice B Reason:
"I have my partner empty the bag for me, so I don't have to look at it."While having a partner assist with bag management might indicate some level of adaptation, the statement implies avoidance or discomfort in dealing directly with the ileostomy. It may suggest a lack of full acceptance or adjustment to the presence of the ileostomy.
Choice C Reason:
“I look forward to having normal bowel movements again." This statement expresses a desire to return to the previous bodily function, indicating a longing for the way things were before the surgery rather than complete acceptance of the ileostomy as a new way of managing bowel movements.
Choice D Reason:
"I will attend a support group to help me handle difficulties when they occur." Attending a support group demonstrates a proactive approach toward acceptance and adjustment to living with an ileostomy. It shows the client's willingness to seek support, learn coping strategies, and engage with others facing similar challenges.

Choice A Reason:
Checking the client for ecchymosis is appropriate. Thrombocytopenia increases the risk of bleeding and bruising, so monitoring for ecchymosis (bruising) is essential to detect any signs of bleeding. Ecchymosis can occur more easily in individuals with low platelet counts.
Choice B Reason:
Initiating protective isolation for the client is typically unnecessary solely due to thrombocytopenia. Protective isolation is generally for clients with conditions that compromise their immune system or make them more susceptible to infections.
Choice C Reason:
Administering ibuprofen for a mild headache might not be advisable in someone with thrombocytopenia because ibuprofen can affect platelet function and potentially increase the risk of bleeding.
Choice D Reason:
Instructing the client to shave with a disposable razor isn't recommended because using a sharp blade can increase the risk of cuts and bleeding in someone with a low platelet count. Using an electric razor or avoiding shaving might be safer options to prevent injury and bleeding.