When the client receiving IV fluids complains of pain from the infusion, the nurse should:
a. increase the rate of infusion to complete it sooner.
b. gently move the hub of the needle to see if the pain decreases.
c. Stop the infusion immediately and notify the health care provider.
d. Document the client's response and monitor the site.
ANS: B
Feedback
A Incorrect: This will worsen the pain regardless of the cause of the pain.
B Correct: If tension is the cause of the pain, gently moving the hub of the needle will decrease the pain. Always assess first.
C Incorrect: Many times, nursing assessment and interventions can eliminate the cause of the pain.
D Incorrect: Although appropriate, the nurse should assess for the cause of the pain and, if possible, eliminate the cause of the pain.
You might also like to view...
A nurse has taught a pregnant woman about good nutrition during pregnancy at her first prenatal visit. What statement by the patient indicates that more teaching is needed?
A. "I buy a lot of yellow and orange vegetables." B. "I have switched to buying only 1% milk." C. "We eat a lot more poultry these days." D. "We eat salmon once a week at least."
A nurse can demonstrate caring and support to a patient through demonstration or expression of
a. superior clinical skills. c. empathy and physical contact. b. uncertainty with prognosis. d. prioritizing care.
The nurse knows the differences between slow-twitch fibers and fast-twitch muscle fibers. Slow-twitch fibers can be described by which of the following statements listed below? Select all that apply
A) Perform lower-intensity work for prolonged periods. B) Run long distances such as a marathon. C) Have more efficient high-intensity workouts at the gym. D) Utilize anaerobic metabolism as a source of energy. E) Participate in a long-distance bike marathon.
Instructions to males regarding breast examination should include recommending
a. monthly breast self-exams and clinical examination every 1–3 years. b. annual breast self-exam and clinical examination every 5 years. c. annual clinical examination of the breasts and mammogram every 3 years. d. breast self-exam every 6 months and clinical examination every 2 years.