According to the phlebitis scale, pain and erythema at the access site with streak formation would be documented as which of the following grades?
a. 1
b. 2
c. 3
d. 4
C
Feedback
A A grade of 1 would indicate erythema at the access site with or without pain.
B There is no grade 2 on the phlebitis scale.
C A grade of 3 would indicate pain at the access site with erythema, edema, or both; streak formation; and palpable venous cord.
D A grade of 4 would indicate pain at the access site with erythema, edema, or both; streak formation; palpable venous cord; and purulent drainage.
You might also like to view...
A home care nurse visits a 68-year-old man who lives alone and has no family and finds him tearful and withdrawn. The patient has been managing well at home up until this time. The nurse would take which of the following actions?
A) Reassess the patient's psychosocial status and make the necessary referrals. B) Have the patient volunteer in the community for social contact. C) Arrange for him to be reassessed by his physician. D) Encourage joining a group that plays cards every week.
A 26-year-old woman is thankful to be alive after rear-ending a truck with her car. However, she experienced a sternal fracture from the force of her car's airbag and has been breathing shallowly to avoid exacerbating her pain
The nurse should consequently prioritize assessments related to: A) Respiratory acidosis B) Pulmonary effusion C) Atelectasis D) Pleurisy
Why is it important for nursing staff to have insight into the culture of their unit (select all that apply)?
a. So they can understand religious practices b. To allow time for peers to access the In-ternet more often c. To enable nurses to understand staff be-haviors d. To improve staff communication e. To allow nursing staff insight into expec-tations and norms
A nurse is looking to lower the high teen pregnancy rate at the local high school. The nurse has performed an assessment and begun work on developing goals to address the pregnancy rate
Which of the following concerns should be considered when working with and educating this population? Select all that apply. A. It is illegal in some communities to provide sexual education to teens B. Does the teen need parental permission to participate? C. Teens are not interested in sexuality education. D. Teens do not usually respond to school programs. E. Educational content and programs are often regulated by school policy.