An infant is admitted to the hospital for dehydration and the physician has ordered IV fluids. What IV catheter would the nurse choose for this client?
a. angiocath c. vascular access de-vice
b. butterfly d. central venous catheter
B
Butterfly catheters are short, over the needle catheters with plastic wings attached to the shaft. The wings (which are flexible) are held tightly together to facilitate catheter insertion and then are flattened against the skin and taped to prevent dislodgment. These are generally used for short-term or intermittent therapy and for infants.
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Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches Linda in an attempt to lessen her anxiety. The most therapeutic statement by the nurse would be:
A. How about watching a football game? B. Tell me how you are feeling today. C. What do you have to be upset about now? D. Ignore the client.
A client is brought to the emergency department by the family, who state that the client was diagnosed last week with gonorrhea but has not taken the medications yet
Today the family notes that the client is "not acting right" and seems confused. Which action by the nurse is most appropriate? a. Start an IV and notify the health care pro-vider about the client's diagnosis. b. Perform a thorough neurologic assessment and document the findings. c. Administer acetaminophen (Tylenol) if the client has a fever. d. Ask the client why he or she has not started the medication regimen yet.
Following a hypophysectomy for a pituitary tumor, the client is monitored for the presence of diabetes insipidus. Which finding by the nurse indicates this condition?
A) hyponatremia B) large amount of dilute urine C) rise in blood pressure D) fluid retention and dependent edema
A mother brings in her 4-month-old infant for a routine checkup and vaccinations. The mother reports that her child was exposed to the flu. Which nursing action is accurate based on the current data?
1. Withhold the DTaP vaccination but give the others as scheduled. 2. Give the infant the flu vaccination but withhold the others. 3. Give the vaccinations as scheduled. 4. Withhold the vaccinations.