The nurse is caring for a patient who has a peripheral IV. While performing her routine assessment, she notes that the insertion site is pale, cool, and edematous. The patient indicates that the site is also painful to the touch
The nurse recognizes these symptoms as revealing a possible _______________.
Fill in the blanks with correct word
infiltration
Infiltration is indicated by swelling and possible pitting edema, pallor, coolness, pain at the insertion site, and a possible decrease in flow rate.
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Discharge planning is underway for an elderly client who has been hospitalized for 2 weeks for
treatment of major depression with selective serotonin reuptake inhibitors. The client has been determined to need ongoing mental status assessment, socialization opportunities, health education regarding medication, and relapse prevention. The client lives with her daughter, who works during the week. The best referral for the client would be a. partial hospitalization. b. home care. c. a nursing home. d. a halfway house.
A client has been admitted to the intensive care unit with worsening pulmonary manifesta-tions of heart failure. What primary collaborative problem should the nurse be most alert for in this client?
A. Risk for aspiration B. Potential for acidosis C. Risk for activity intolerance D. Potential for pulmonary edema
Teenagers doing community service following arrest for driving under the influence are working at the rehabilitation hospital with patients who have paraplegia. These patients have been paralyzed by drunk drivers
How would the nurses who care for these patients best use the time spent with these teenagers? A) Educating them about not drinking and driving B) Teaching them how to turn these patients every 2 hours C) Fulfilling the court requirements D) Keeping the shelves restocked
Using an interactional approach, the nurse focuses the assessment of a family on the family's
A) Cultural practices B) Developmental stages C) Communication patterns D) Potential sources of stress