nurse reads laboratory report newborn action nurse

The nurse reads the laboratory report on a newborn (above). what action will the nurse take next?

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Ans: A
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Infiltration is the escape of fluid into the subcutaneous tissue due to a dislodged needle that has penetrated a vessel wall.
Signs and symptoms include swelling, pallor, coldness, or pain around the infusion site, and significant decrease in the
flow rate. The signs of sepsis include red and tender insertion site, fever, malaise, and other vital sign changes. The
symptoms of thrombus are local, acute tenderness; redness, warmth, and slight edema of the vein above the insertion
site. The signs of speed shock are pounding headache, fainting, rapid pulse rate, apprehension, chills, back pains, and
dyspnea.

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