Question

The nurse is caring for a postoperative client who has D5W/0.45% normal saline with 10 mEq potassium chloride infusing through a peripheral IV catheter. What are appropriate reasons for the nurse to change the site?

Answer 1

The nurse should change the IV site if there are signs of infection, infiltration, phlebitis, extravasation, or if the IV line is compromised, especially considering the irritation caused by potassium chloride to the veins.

Step-by-step explanation:

Appropriate reasons for a nurse to change the IV site include signs of infection, such as redness, warmth, pain or swelling at the IV site; infiltration, when fluid leaks into the surrounding tissue; phlebitis, or inflammation of the vein; extravasation, if the infused medication causes blistering or necrosis; or a compromised IV line, such as kinks or blockage. Notably, the frequent contact with potassium chloride solutions, which are irritating to veins, heightens the importance of monitoring for these complications. If any of these issues arise, prompt site change is essential to prevent harm to the patient.