The nurse is monitoring a client receiving intravenous (IV) chemotherapy. The nurse knows that the treatment would be discontinued if which sign appears?
a. blood return in the tubing c. client anxiety
b. itching at the infusion site d. pain or swelling at the infusion site
D
The nurse's role includes careful monitoring to prevent complications, such as drug extravasation from intravenous administration. Signs and symptoms for extravasation include pain or swelling at the infusion site, redness, or burning.
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On their first visit to a critically ill patient, family members stand in the doorway of the room, making no effort to approach the patient. What is the most appropriate nursing action?
A) Instruct the family where the patient can be touched and what to say. B) Engage the family in social conversation to ease them into the milieu. C) Use visiting hours to explain to the family the general status of the patient. D) Leave the family to adjust to the situation when they are ready.
You are the nursery nurse caring for a 34-week newborn. You think that she is beginning to show signs of respiratory distress primarily due to insufficient production of
a. adrenal cortical ste-roids c. amino acids b. alpha-fetoproteins d. surfactant
When providing patient teaching about the ears, what should the nurse be sure to include?
A) How the patient cleans the ears B) Basic anatomy and physiology of the ears C) How to use cotton-tipped applicators safely D) Potential infection from self-cleaning of ears
Each of the following pregnant women is scheduled for a 14-week antepartal visit. In planning care, the nurse would give priority teaching on amniotic fluid alpha-fetoprotein (AFP) screening to which patient?
1. 28-year-old with history of rheumatic heart disease 2. 18-year-old with exposure to HIV 3. 20-year-old with a history of preterm labor 4. 35-year-old with a child with spina bifida