The nurse who is caring for a patient with an infusion of D5 1/2NS 1000 mL with 20 mEq KCL at 100 mL/hr notes that there is slight swelling at the insertion site and no blood return when aspirating at the injection port closest to the IV site
Which of the following problems does the nurse suspect?
1. Air embolism
2. Fluid overload
3. Infiltration
4. Thrombophlebitis
ANS: 3
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A nurse makes a medication error and notifies the client's physician. The physician berates the nurse over the phone and states, "You are an idiot
" How should the manager deal with this situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Tell the nurse to go home for the rest of the day. 2. Have the nurse call the physician back and demand an apology. 3. Document the facts of the encounter. 4. Privately tell the physician that the behavior was bullying. 5. Confront the physician during rounds and demand an explanation.
When a patient asks if he can keep the hot application on his leg all the time, the nurse reminds him that long-term heat can:
a. cause extreme vasoconstriction. b. increase possibility of infection. c. cause the blood pressure to increase. d. damage epithelial cells.
A patient will begin taking tamoxifen [Nolvadex] to treat breast cancer. The nurse performs a medication history and learns that the patient is taking sertraline [Zoloft] for depression
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The patient with AML has a platelet count of 95,000 . What interventions should be included in the plan of care for this patient? (Select all that apply.)
a. Observe for melena and hematuria. b. Brush and floss at least twice daily. c. Measure abdominal girth daily. d. Apply ice and pressure to puncture sites. e. Use electric razor.