A client is receiving a heparin infusion. The nurse should check the needle site for the heparin infusion for signs of which of the following? Select all that apply
A) Inflammation
B) Pain
C) Tenderness
D) Clot formation
E) Itching
Ans: A, B, C
Feedback:
The nurse inspects the needle site for signs of inflammation, pain, and tenderness along the pathway of the vein. If these occur the infusion is discontinued and restarted in another vein.
You might also like to view...
A nursing faculty member is explaining potential complications from epidural anesthesia to a class of nursing students. Which information does the nurse include? (Select all that apply.)
A. Bizarre behavior B. Increased need for oxytocin (Pitocin) C. Lengthened duration of labor D. Shiver response E. Urinary incontinence
Clients taking diltiazem HCl should be instructed to take the medication with a calcium-containing antacid to decrease GI upset
Indicate whether the statement is true or false.
Art is a 55-year-old smoker who has been diagnosed with angina and placed on nitrates. He complains of headaches after using his nitrate. An appropriate reply might be:
1. This is a parasympathetic response to the vasodilating effects of the drug. 2. Headaches are common side effects with these drugs. How severe are they? 3. This is associated with your smoking. Let's work on having you stop smoking. 4. This is not related to your medication. Are you under a lot of stress?
A nurse is helping a Japanese American client make appropriate dietary choices. During the assessment, the nurse gathers information about the different foods that are commonly eaten by this client
Based on this assessment, what would be the best source of protein and calcium to encourage the client to consider including in the dietary choices? A) Seaweed B) Tofu C) Bamboo shoots D) Bean sprouts