Which of the following is a systemic complication associated with IV therapy?
A. Air embolus
B. Infiltration
C. Hematoma
D. Phlebitis
Ans: A. Air embolus
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A nurse is observing a student nurse prepare a sitz bath. Which actions should be performed by the student? (Select all that apply.)
A. Confirm that the patient can ambulate to the bathroom. B. Fill the water bag with water heated to 120 °F (48.9 °C). C. Help the patient remove the peri-pad from front to back. D. Ensure that the patient is covered enough to prevent chilling. E. Place the sitz bath in the toilet with the overflow opening directed toward the front.
A 5-year-old patient who was in an accident in which his cousin was killed starts to wet the bed at night. When the mother confirms that it has been several years since the patient had any difficulty with bed wetting, the nurse asks:
1. "Do you think this is related to the accident?" 2. "Do others in the family have this problem?" 3. "Does your child drink lots of fluids late at night?" 4. "Are there any stressful situations in your family?"
A client newly diagnosed with type 2 diabetes tells the nurse that since increasing fiber intake, he is having loose stools, flatulence, and abdominal cramping. Which is the nurse's best response?
a. "Decrease your intake of water and other fluids until your stools firm up." b. "Decrease your intake of fiber now and gradually add it back into your diet." c. "You must have allergies to high-fiber foods and will need to avoid them." d. "Taking an antacid 1 hour before or 2 hours after meals will help this problem."
A client with neurologic disease and associated immobility is at high risk for which of the following adverse events?
A. Impaired skin integrity related to immobilization devices B. Decreased muscle strength related to reduced activity C. Urinary tract infection related to barriers to elimination D. Injury related to lift and transfer techniques