NUR 250 Site Care & Monitoring

Question 1

1. basic site monitoring and assessment

Answer 1

• sluggishness/blockage
• abnormalities while flushing
• leakage or solution
• catheter is secured and not dislodged

Question 2

2. verbalize complications and associate signs and symptoms

Answer 2

• infiltration (swelling, edema, coolness, leakage)
• phlebitis (warmth, pain, redness, tenderness, following the vein)
• hematoma (brusing, blood leakage)
• extravasation (pain, redness, burning, leakage)

Question 3

3. verbalizes appropriate nursing actions if a complication and associated signs and symptoms are identified

Answer 3

• remove catheter except in extavastion
• notifies MD if severe
  insertion of new IV proximal except in extravasation and hematoma would be a new arm