A nurse assesses an area where an intravenous (IV) line had been recently removed. The area has redness, swelling, and warmth. What should the nurse suspect as the cause?
a. Infiltration and air embolus
b. Inflammation and possible phlebitis
c. Blood loss and hemorrhage
d. Embolus from the former catheter
B
IV sites may show signs of inflammation or infection or both after an IV line has been removed.
You might also like to view...
Patients receiving chloroquine (Aralen Phosphate) for malaria prophylaxis should receive patient teaching from the nurse, which includes instructions to receive what regularly?
A) Cardiovascular studies B) Eye exams C) Immunizations D) Pulmonary studies
A nurse who works in a clinic is aware of the importance of thorough and thoughtful urologic assessments, despite the fact that these assessments have the potential to make patients uncomfortable
When interviewing patients about their urologic health, the nurse should: A) Use lighthearted or slang terminology to help put the patient at ease. B) Emphasize the dangers of neglecting urologic health. C) Maintain a composed but empathic demeanor. D) Forego a urologic assessment if the patient is visibly uncomfortable.
When planning care for a client diagnosed with female sexual arousal disorder, what should a nurse document as an expected outcome of sensate focus exercises?
A. To initiate immediate orgasm B. To reduce anxiety by eliminating physical touch C. To focus on touching breasts and genitals D. To reduce goal-oriented demands of intercourse
The nurse monitors the newborn infant's weight daily. In caring for a new mother starting to breast-feed, weighing the newborn is an example of which of the following roles of the nurse? The nurse is:
A) assessing breast-feeding readiness. B) assisting with breast-feeding technique. C) assessing newborn fluid intake. D) providing teaching about special breast-feeding topics.