The nurse assesses that her patient's intravenous solution has infiltrated into the tissues. What action should she take first?

a. Aspirate, then inject 0.5 mL normal saline.
b. Restart the IV line in a different vein.
c. Stop the infusion immediately.
d. Notify the primary care provider.


ANS: C

Nursing

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The nurse is talking with a patient who has been experiencing nausea. The patient indicates an interest in using alternative therapies for the condition. Which product may be suggested to aid in the management of this condition?

a. Ginger b. Ginseng c. Chamomile d. Soy

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A client with open burn wounds begins to have diarrhea. The client is found to have a be-low-normal temperature, with a white blood cell count of 4000/mm3 . Which action by the nurse is most appropriate?

a. Continue to monitor the client. b. Increase the temperature in the room. c. Increase the rate of intravenous fluids. d. Prepare to do a workup for sepsis.

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During your preoperative assessment in the preoperative holding area, the client says, "I think I need to wait until later to have this surgery done. The last time I had surgery I think there were some problems with the pain medication used."

Which of the following nursing diagnoses should you consider for this client? 1. Anxiety related to fear of the unknown 2. Distrust related to anesthesia 3. Deficit knowledge related to anesthesia 4. Malignant hyperthermia related to past anesthesia problems

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A community identifies cardiovascular disease as a priority need because its mortality rate is four times higher than the rate identified in Healthy People 2020 . The approach to identifying this need was:

a. Proactive b. Reactive c. Inactive d. Interactive

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