A client with cancer is being treated with medication via intravenous therapy. The client is noted to have swelling at the IV site, pain at the IV site, and cool and pale skin. What is the highest priority nursing intervention?
a. Consult the pharmacist.
b. Increase the rate of the infusion.
c. Stop the infusion.
d. Administer pain medication.
ANS: C
This is extravasation produced by a vesicant drug. The infusion should be stopped.
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A patient is hospitalized with cryptococcal pneumonia and AIDS. What is the most important standard precaution for the health care team to implement?
a. Hands are washed before and after glov-ing. b. After gloves are put on, they do not need to be changed until care is finished. c. Needles and sharps should be placed in puncture-resistant containers on the medi-cine cart out of the room. d. Mouth-to-mouth resuscitation must be performed immediately unless the patient is a designated as "do not resuscitate."
On the admission papers, a patient checked the box labeled "No religious affiliation." What meaning can the nurse draw from this information? The patient
a. is not religious. b. is probably monotheistic. c. has conventional religious values. d. is probably experiencing spiritual distress.
A patient with rheumatoid arthritis (RA) complains to the clinic nurse about having chronically dry eyes. Which action by the nurse is most appropriate?
a. Teach the patient about adverse effects of the RA medications. b. Suggest that the patient use over-the-counter (OTC) artificial tears. c. Reassure the patient that dry eyes are a common problem with RA. d. Ask the health care provider about discontinuing methotrexate (Rheumatrex) .
Medicare is federal health insurance for persons 65 and older and for
1. Native Americans and those with tuberculosis. 2. Persons with end-stage renal disease and some who are totally disabled. 3. Those living at 150% below the poverty index. 4. Veterans and members of the armed forces.