The nurse has determined that a client's intravenous infusion has infiltrated. The assessment finding that is mostly seen with an infiltrated IV would be:
1. a reddened area.
2. warmth along the vein.
3. red stripe along the vein.
4. a cool area near the infusion site.
ANS: 4
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Rh incompatibility can occur if the woman is Rh negative and her
a. Fetus is Rh positive b. Husband is Rh positive c. Fetus is Rh negative d. Husband and fetus are both Rh negative
During assessment of an African-American patient, the nurse notes that the fingernails on the hand casted in plaster are an ashen-gray color. What information should the nurse collect next?
a. Whether the patient is experiencing numbness or tingling in the affected hand b. How pink the fingernails were before the application of the cast c. Whether the patient has an allergy to latex or medications d. The color of the toenail beds for a com-parison
Who is responsible for the client's care?
A) Client B) Family C) Physician D) Nurse
When planning interventions in the immediate hours after birth the nurse recognizes the need to provide an injection of which of the following to manage bacteria in the intestinal tract?
A) Vitamin K B) Vitamin A C) Vitamin C D) Vitamin D