The nurse assesses an area where an IV had been changed recently. The area has redness, swelling, and warmth, which are characteristics of:
1. infiltration and air embolus.
2. inflammation and possible phlebitis.
3. blood loss and hemorrhage.
4. embolus from the former catheter.
2
IV sites may show signs of inflammation and/or infection after the IV has been removed.
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A teen is brought to the emergency department with a headache and complaints of feeling dizzy after a head injury resulting from falling off a bicycle. The physician diagnoses a concussion
What explanation should the nurse provide to the patient's mother? a. The patient has had a minor head trauma and should recover spontaneously. b. The patient may need to have surgery to relieve increased intracranial pressure. c. The patient may lose consciousness before beginning to recover. d. The patient has had some intracranial bleeding but should recover in time.
A nurse assesses a client admitted to the cardiac unit. Which statement by the client alerts the nurse to the possibility of right-sided heart failure?
a. "I sleep with four pillows at night." b. "My shoes fit really tight lately." c. "I wake up coughing every night." d. "I have trouble catching my breath."
In order for a substance-related disorder to be diagnosed, the pattern of substance use must lead to
1. significant costs involved with the habit. 2. significant disturbances in social functioning. 3. significantly impaired functioning and distress. 4. significant physical changes related to the abused substance.
Which instructions should the nurse give to the patient complaining of constipation? Select all that apply
a. Drink at least eight glasses of water or fluid per day. b. Include a minimum of four servings of meat per day. c. Gradually increase your fiber intake to 25 grams per day. d. Exercise at least 60 minutes per day as you feel necessary. e. Use the restroom when you feel the urge to defecate.