The nurse is caring for a client receiving intravenous (IV) chemotherapy. The nurse notes the leakage of the chemotherapeutic drug from the vein into the surrounding tissues and is aware that this is which complication?
a. invasion c. extravasation
b. extraction d. intrusion
C
Extravasation is the leakage of chemotherapeutic drugs from the vein into the surrounding tissues. This is a serious complication in the administration of intravenous (IV) chemotherapy.
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The nurse is explaining factors that affect an individual's body alignment, mobility, and daily activity level. Examples of client factors that might decrease mobility and activity include: Standard Text: Select all that apply
1. Vestibular disorder. 2. Spina bifida. 3. Anemia. 4. Overnutrition. 5. Ear canal infection.
A female client with low self-esteem tries to dress and act like the nurse who cares for her in an outpatient clinic setting. This behavior is an example of which defense mechanism?
a. Identification b. Symbolization c. Displacement d. Projection
The nurse at a clinic is providing education to a patient with recurrent otitis externa. The nurse is evaluating the patient's understanding of the instructions. Which statement by the patient best demonstrates understanding?
a. "I'll keep the ear canal free of earwax." b. "I'll keep the ear canal as dry as possible." c. "I can use cotton-tipped applicators to dry my ear." d. "I should insert ear plugs when showering and swimming."
A nurse is caring for the older patient who had knee replacement surgery 8 days ago. What assessment by the nurse is most important?
a. Determining whether the patient has sen-sation to the foot b. Asking the patient to rate his or her cur-rent pain. c. Observing the incision site for redness or drainage. d. Monitoring the calf circumference on the affected side