You are on duty and from the report/endorsements from the previous shift which client should you attend to FIRST? A client who is:*1 pointA.Schedule to receive heparin and the PTT is 70 secondsB.Receiving Ciprofloxacin (Cipro) and complains of a fine macular rashC.Receiving a blood transfusion and complains of a dry mouthD.Receiving IV potassium and complains of burning at the IV site
Question
You are on duty and from the report/endorsements from the previous shift which client should you attend to FIRST? A client who is:*1 pointA.Schedule to receive heparin and the PTT is 70 secondsB.Receiving Ciprofloxacin (Cipro) and complains of a fine macular rashC.Receiving a blood transfusion and complains of a dry mouthD.Receiving IV potassium and complains of burning at the IV site
Solution
The client you should attend to first is D. Receiving IV potassium and complains of burning at the IV site. This could be a sign of infiltration or phlebitis, which can lead to serious complications if not addressed immediately. The other clients also need attention, but their situations are not as immediately critical. The client receiving a blood transfusion and complaining of a dry mouth may be experiencing a side effect or may be dehydrated, but this is not as urgent. The client with the rash may be having an allergic reaction to Ciprofloxacin, but again, this is not as immediately critical as the client with the IV issue. The client scheduled to receive heparin with a PTT of 70 seconds is not in immediate danger, the heparin can be held until the PTT is within a safe range.
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