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The client who has just had an IV started in the right cephalic vein tells the n

nurse2mrow

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9 years ago

The client who has just had an IV started in the right cephalic vein tells the n

The client who has just had an IV started in the right cephalic vein tells the nurse that the wrist and hand below the IV site feel like there are “pins and needles” in them. What is the nurse’s best action?
A.   Document the response as the only action.
B.   Discontinue the IV and restart it at another site.
C.   Check for the presence of a strong blood return.
D.   Elevate the extremity so that it is above the level of the heart.

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padre

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9 years ago

B
The sensation the client has described is related to the IV needle touching the nerve or possibly transecting the nerve. This problem can lead to loss of function and the potential for permanent disability in the distal extremity. It is considered an emergency and the IV must be discontinued.

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nurse2mrow Author

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9 years ago

Thank you for this, it helped me understand it perfectly.

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padre

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9 years ago

Hey, no worries.

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