The nurse is educating a patient with a peripheral intravenous infusion of dextrose 5%. What is the most important information to share with the patient who has an IV infusing in the right hand?

A) Keep the IV fluids 18 inches above the extremity
B) Caution the patient not to bend the right wrist
C) Instruct on ambulating with an IV pole
D) Instruct the patient on fluid volume excess


Ans: B

Nursing

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The pediatric nurse assessing a patient for breath sounds documents a loud, high-pitched sound heard only over the trachea. The nurse should document this finding as which of the following?

A. Adventitious breath sound B. Bronchial breath sound C. Bronchovesicular breath sound D. Vesicular breath sound

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The body is exposed to stressors and attempts to maintain balance or equilibrium among all of the needs of the body. This is BEST described as:

a. homeostasis c. general adaptation syndrome b. catharsis d. adaptation

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Which of the following client events would require an incident report?

a. The client develops a rash when taking a medication. b. The nurse notes a change in the client's condition. c. The client's relatives complain about the client's care. d. The client falls out of bed.

Nursing

Vicky has just learned she has vaginal cancer. She is upset and doesn't understand how this has happened. She turns to you, the clinical educator, for more information

a. Discuss what causes vaginal cancer. b. Who is likely to have vaginal cancer? c. What symptoms would you expect to find? d. What is the treatment for this? e. What is the prognosis and nursing care involved?

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