The nurse observes that the insertion site of an IV catheter looks pale and puffy and the area feels cool to the touch. The initial action for the nurse should be to:
a. discontinue the infusion and start a new IV site.
b. apply warm compresses to the site.
c.monitor the patients temperature every 4 hours.
d. call the physician and report these findings.
a. discontinue the infusion and start a new IV site.
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The nurse is preparing medication for parenteral administration that comes in a vial and must be mixed from powder with sterile saline. The vial says to mix the medication with 4
8 mL; however, the nurse knows the medication must be further diluted to 25 mL before administering. The nurse will: 1. Add 29.8 mL of fluid to the vial. 2. Add 4.8 mL of fluid to the vial, draw out the medication, and dilute to 25 mL. 3. Add 25 mL to the vial. 4. Any of these methods would be accurate.
An IV was started at 9:00 am with orders to infuse 500 mL over 6 hours. At 12:00 noon, the IV has infiltrated with 350 mL left in the bag. The drop factor for the IV tubing is 10 gtt/mL. Calculate the new flow rate after the IV is restarted. _____
a. 42 gtt/min b. 14 gtt/min c. 29 gtt/min d. 20 gtt/min
The nurse is caring for a client in restraints. Which of the following would the nurse ensure was included in the documentation for this client? (Select all that apply.)
a. type of restraint used b. client's response to the restraints c. assessment for the need of the restraint d. position of the bed e. client's age f. notification of the family
A patient comments, "I don't understand why I have chest pain at times when I'm resting or exercising. How will metoprolol (Toprol XL) help?" Which of the following comments made by the nurse is correct?
a. "It improves sympathetic stimulation to the heart." b. "You've probably had several minor heart attacks, therefore SL nitroglycerin would be more appropriate." c. "It improves the right ventricular ejection fraction." d. "It increases exercise tolerance"