Question

The nurse enters the client’s room to check the patency of a peripheral IV in the patient’s right forearm and to flush with saline if needed so that the RN can administer a piggyback medication. When the nurse assesses the IV site, it is swollen and red, and the client says it is painful. Which of the following actions is least appropriate?

The IV catheter should be removed.
The nurse should flush with 5 mL saline and assess the site for infiltration.
A new IV should be placed to administer the medication.
The right forearm should be elevated.

Accepted Answer

The nurse should flush with 5 mL saline and assess the site for infiltration.

Answer

The IV catheter should be removed.

Answer

The right forearm should be elevated.

Answer

A new IV should be placed to administer the medication.

Question 30 - Physiological Adaptation Practice Test for the NCLEX-PN Exam