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The Nurse Is Caring for a Client Receiving IV Medications

Question 25

Multiple Choice

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?


A) Incident report
B) Health care provider notification and any orders received
C) Amount of fluid infused per shift on the intake and output record
D) Size and location of erythematous area
E) Actions taken to correct the problem

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