List the following nursing actions in the correct sequence for a patient with an infiltrated IV:
1. Contact the physician.
2. Inspect for signs of injury.
3. Apply warm, moist compresses.
4. Discontinue the infusion.
4, 2, 1, 3
Whenever an IV infiltration is discovered, the infusion should immediately be discontinued and the site carefully inspected for signs of injury. The physician should be called, and warm, moist compresses should be applied to the area.
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A nurse is planning care for a client who is hyperventilating. The client's arterial blood gas values are pH 7.30, PaO2 94 mm Hg, PaCO2 31 mm Hg, and HCO3- 26 mEq/L. Which question should the nurse ask when developing this client's plan of care?
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A patient presents at the free clinic complaining of urticaria and a red rash. She is diagnosed with a delayed hypersensitive reaction
The nurse caring for this patient knows that an example of a hypersensitivity reaction characterized by a delayed reaction that occurs 24 to 72 hours after exposure to an antigen is what? A) Myasthenia gravis B) Serum sickness C) Allergy to fresh-water fish D) Contact dermatitis from tape adhesive
The nurse is aware that when caring for the client who is human immunodeficiency virus (HIV) positive, once initial treatment for acute cryptococcal meningitis is completed, interventions should include:
a. avoiding fresh juice and fruit b. being reevaluated every 2 to 4 weeks for reoccurrence c. recognizing the signs and symptoms of me-ningitis, so any reoccurrence can be identified soon d. beginning lifelong suppressive therapy