Which does the nurse use for routine care of a peripheral access device?
1. Employ moist heat for phlebitis.
2. Elevate an infiltrated extremity.
3. Change the IV access everyday.
4. Flush with 0.9% saline solution.
4
4. In the past, nurses flushed client IV access devices with heparin solution, but the incidence of heparin-induced thrombocytopenia (HIT) in clients increased steadily. Currently, widely accepted guidelines for the nursing care and maintenance of IV access devices include regular flushes with normal saline solution to prevent HIT from IV flushes.
1 and 2. Routine nursing care of an IV site should prevent phlebitis and infiltration.
3. IV access is usually changed every 3 days; many clients lack enough suitable veins to accommodate daily IV insertions.
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The nurse is caring for a client having problems with emotional appropriateness as a result of a brain injury. Based on this data, which area of the brain has been damaged?
A. Frontal lobe.
B. Occipital.
C. Parietal.
D. Temporal.
A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through which of the following?
A) Amniotic fluid B) Placenta C) Birth canal D) Breast milk
Critical pathways, used in the case management approach, consist of
a. rating scales for outcomes. b. lists of good and bad outcomes. c. maps that show the outcome of predetermined patient goals over a period of time. d. recommended activities for achieving patient care goals.
A newborn who has not voided by 48 hours after birth should be assessed for which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Restlessness 2. Pain 3. Kidney distention 4. Adequacy of fluid intake 5. Lethargy