The nurse assesses the client's IV site. Which clinical indicator does the nurse recognize as being consistent for phlebitis?
1. Tachycardia and diaphoresis
2. Decreased skin temperature
3. Erythema along the vein line
4. Edema around the insertion site
3
3. The nurse scrutinizes the IV insertion site for redness along the vein's outline through the skin. The erythema indicates inflammation of the vein.
1. Tachycardia and hypertension are consistent with clinical indicators for infection.
2. Cool skin is consistent with clinical indicators for infiltration.
4. Regional edema is consistent with clinical indicators for inflammation and infec-tion.
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Which does the nurse implement to cleanse a male client before insertion of a urinary catheter?
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