The nurse charts signs of infected phlebitis as:
1. rupture of the cannula with a lump under the skin.
2. pale, cool skin with swelling at the puncture site.
3. firm, cool, raised, painful area at the puncture site; oozing; and purulent drainage
4. puncture site red, warm, with an oozing drainage.
4
Infection causes redness, warmth, and drainage from the IV site. Red streaks following the path of the vein may be visible.
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The nurse has a question regarding scope of practice and delegation. Where should the nurse seek clarification? (Select all that apply.)
a. The state's Nurse Practice Act b. Theory X management c. Nurse's Code of Ethics d. The NCSBN website e. NCSBN journal articles
A patient has been admitted to the hospital with burns to his upper chest. The nurse notes singed nasal hairs. It would be important for the nurse to assess this patient frequently for
a. decreased activity. b. bradycardia. c. respiratory complications. d. hypertension.
The lack of which of the following has long been a barrier to effective data reporting and analysis?
1. Knowledge 2. Interoperability 3. Resources 4. Information technology
The nurse has received a phone call from a multigravida who is 21 weeks pregnant and has not felt fetal movement yet. The best action for the nurse to take would be to:
1. Reassure the patient that this is a normal finding in multigravidas. 2. Suggest that she should feel for movement with her fingertips. 3. Schedule an appointment for her with her physician for that same day. 4. Tell her gently that her fetus is probably dead.