What signs of infiltration should be assessed by a nurse?
a. Burning sensation, pain, and puffy
b. Pain, heat, and puffy
c. Burning sensation and no feeling at the site
d. Red streak up the arm
A
Intravenous fluid in the immediate tissues causes pain and swelling of the adjacent tissues.
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In caring for a hospitalized 8-year-old child with myelodysplasia, the nurse should remember to: (Select all that apply.)
1. Use latex precautions. 2. Ensure that the child has a low-fiber diet. 3. Expect the child to have normal intelligence. 4. Allow the child to do her own self-catheterization. 5. Encourage the child to shift positions hourly when in her wheelchair.
The multidisciplinary care team is meeting to discuss care for a client who exhibits symptoms of the prodromal phase of hepatitis. Lab results include a positive anti-HAV IgM. The nurse creates an action plan to present to the team. Which interventions ar
Select all that apply. A) High-fat, low-calorie, and no-alcohol diet teaching B) Patient education on acceptable pain medication C) Early treatment with lamivudine D) Referral to the liver transplant team E) Family teaching for transmission prevention.
The physician has discontinued a patient's diuretic medication. Which way would the nurse expect this medication to be discontinued?
a. Reduced gradually b. Stopped immediately c. Taken every other week for a month d. Stopped after two more doses
An emergency department nurse learns from the paramedics that they are transporting a patient who has suffered injury from a scald from a hot kettle. What factors does the nurse know are considered when determining the depth of burn?
A) Causative agent B) Visual observation of burned area C) Area of body burned D) Circumstances of the accident