How often should the nurse assess the IV line of a pediatric patient quizlet?

A nursing instructor is assisting a student nurse to change the peripheral IV dressing on a patient. Which action, if made by the nursing student, indicates further teaching is necessary? (Select all that apply.)
A) The student nurse dons sterile gloves and removes the old dressing, being careful to avoid dislodging the catheter.
B) After completing the dressing change, the student nurse documents in the patient's chart the presence of swelling, coolness, blanching, and complaints of pain at the insertion site.
C) The student stabilizes the IV, cleans the insertion site with antiseptic swab using friction in a horizontal plane, then vertical plane, followed by a circular motion.
D) The student nurse cleans the site with an antiseptic swab and immediately applies a new dressing to protect against infection.
E) The student nurse labels the dressing with date and time of insertion, date and time of dressing change, gauge and length of catheter, and identification of student nurse.

Inhaltsverzeichnis Show

How frequently does the nurse assess a child's intravenous infusion?
How frequently does the nurse assess a child's intravenous infusion quizlet?
Which of the following is an acceptable IV insertion site for a child?
What are the four goals of nursing care for a patient receiving an IV infusion quizlet?

a/b/d
A) The student nurse dons sterile gloves and removes the old dressing, being careful to avoid dislodging the catheter.
B) After completing the dressing change, the student nurse documents in the patient's chart the presence of swelling, coolness, blanching, and complaints of pain at the insertion site.
D) The student nurse cleans the site with an antiseptic swab and immediately applies a new dressing to protect against infection
Feedback: The student nurse should perform hand hygiene prior to donning clean gloves. It is unnecessary to wear sterile gloves to remove the old dressing. If signs of symptoms of infiltration are present, the infusion should be temporarily discontinued, the catheter removed, and the IV relocated. The student should do more than simply document the presence of the symptoms, because the infiltration will only worsen. To reduce skin surface bacteria, the student nurse should allow the antiseptic to dry completely before applying the new dressing. The student nurse provided appropriate labeling of the dressing.

C/E/F
C) Insertion site is pale, cool to touch, and extremity edematous
E) Small amount of purulent drainage is at insertion site; redness is noted.
F) Patient complains of pain and tenderness along vein pathway.
Feedback: Signs and symptoms of infiltration (i.e., insertion site pale, cool to touch, edema) or phlebitis (i.e., redness, pain and tenderness along vein pathway) require the infusion to be temporarily discontinued, the catheter removed, and the IV relocated with a new sterile catheter. Localized infection at the insertion site (redness, purulent drainage) also requires discontinuation of the present IV and relocation. It is unnecessary to relocate the IV site if the patient is afebrile and without symptoms of infection at the IV site. If the catheter is leaking, tightening the tubing and hub connection should be attempted first. Dried blood indicates the need for a dressing change but fails to require IV relocation.

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How frequently does the nurse assess a child's intravenous infusion?

The nurses will check on your child every hour whether awake or asleep. They will touch, look, and compare the IV site to the other arm, leg, or side of the scalp to make sure that there are no problems. The two most common problems are: Infiltration.

How frequently does the nurse assess a child's intravenous infusion quizlet?

10. How often should a child who has a continuous intravenous infusion should be assessed? The nurse must assess hourly an intravenous infusion for complications, such as inflammation and infiltration.

Which of the following is an acceptable IV insertion site for a child?

Medicines or fluids may be given through an intravenous (IV) tube inserted into a vein. The IV is most often placed in the back of your child's hand, on the forearm, or on the inside of the elbow.