The nurse is caring for a client receiving IV medications.After infusing an IV antibiotic,the nurse assesses the IV site and finds it to be red and edematous,and the client is complaining of pain at the site.Which would the nurse document in the nursing notes regarding the infiltration?

Question

Quizplus · Accepted Answer

The nurse should document the size and location of the erythematous area on the IV site, as well as any actions taken to correct the problem such as discontinuing the IV and applying warm compresses. A incident report and healthcare provider notification and orders may also be necessary, but not primary documentation for the infiltration. The amount of fluid infused per shift should be documented on the intake and output record, but not specific to the infiltrated site.

The Nurse Is Caring for a Client Receiving IV Medications