A nurse is caring for a patient who is receiving pain medication through a saline lock. After obtaining a good blood return when the nurse is flushing the patient's peripheral IV, the patient reports pain
Upon assessment, the nurse notices a red streak that is warm and tender to the touch. What is the nurse's initial action?
a. Do not administer the pain medication.
b. Administer the pain medication slowly.
c. Apply a warm compress to the site.
d. Apply a cool compress to the site.
ANS: A
The patient has phlebitis; the initial nursing action is do not administer the medication. The medication should not be given slowly. A cool or warm compress may be used later depending upon protocol, but it is not the first action.
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Nursing students in which of the following entry-level nursing education programs can receive credit toward their course requirements for a baccalaureate degree in nursing?
1. Practical nurse (PN) to bachelor of science in nursing (BSN) program 2. Associate degree nurse (ADN) to BSN program 3. Diploma to BSN program 4. All of the above
A postpartum client calls the nursery to report that her 3-day-old newborn has passed a bright green stool. The nurse's best response is:
1. "Take your newborn to the pediatrician." 2. "There might be a food allergy." 3. "Your newborn has diarrhea." 4. "This is to be expected."
The nurse is incorporating nonverbal communication with verbal communication when explaining the treatment plan for a child with juvenile diabetes. Which of the following should the nurse do to communicate effectively with this family?
A) Relax; maintain an open posture, with the arms crossed. B) Sit opposite the family and lean forward slightly. C) Use eye contact sparingly to avoid embarrassment. D) Speak a verbal yes or no; do not use head nods.
A client in the clinic complaining of abdominal pain tells the nurse that the food eaten last night must have been tainted. What action would the nurse take after the client states that the food was tainted?
1. Advise the client to take an antacid. 2. Ask open-ended questions to further assess. 3. Call an ambulance before assessing further. 4. Tell the client the physician does not need to assess the client.