When assessing a patient with an IV line in the right arm, the LPN notices that the skin near the infusion site is taut and cool, and when the arm is lowered, it appears to swell
What should the nurse consider is occurring with this patient's IV access site?
a. Infection
b. Embolism
c. Infiltration
d. Venous spasm
ANS: C
C. These are symptoms of infiltration. A. Warmth and redness accompany infection. D. Pain is present with venous spasm. B. Embolism will cause systemic symptoms.
You might also like to view...
The clinic nurse saw four clients this morning. Which client would the nurse assess as being a
geriatric problem drinker? a. X, who had intermittent problems with alcohol misuse early in life, then abused alcohol constantly from age 45 years onward b. Y, who had no history of alcohol-related problems until age 65 years, when she retired and began to drink large amounts of alcohol daily "to keep her mind off her arthritis" c. S, who drank socially all his adult life and continues this pattern, maintaining he has earned the right to do as he pleases d. T, who abused alcohol between the ages of 25 and 40 years, and now at age 70 years abstains and occasionally attends AA
The nurse is planning a class for nursing assistants. Which should be included as causing interference with accurate pulse oximeter readings? Select all that apply
1. Ambient light 2. Nail polish 3. Inhalation injuries 4. Arterial pulses 5. Placement on cartilage
A woman is going for a 2-hour hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations should be given by the nurse?
a. Bring at least 24 ounces of water. b. Bring at least 72 ounces of water. c. Bring at least 24 ounces of sports drink. d. Bring at least 72 ounces of sports drink.
A client has disabling attacks of vertigo. The nurse suspects that the client has Meniere's disease. The nurse is aware that the diet of the client must be modified. Which of the following is the best diet for the client?
A) High protein B) Low Carbohydrates C) Low Sodium D) Low Fat