You are the nurse caring for a patient who is to receive IV daunorubicin. You start the infusion and check the insertion site as per protocol. This time when you look at the IV site, you note that the IV has infiltrated
You stop the infusion. What is your main concern with this infiltration?
A) Extravasation of the medication
B) Discomfort to the patient
C) Blanching at the site
D) Reaction to the medication
Ans: A
Feedback: Medications such as dopamine, calcium preparations, and chemotherapeutic agents can cause pain, burning, and redness at the site. Blistering, inflammation, and necrosis of tissues can occur. The extent of tissue damage is determined by the concentration of the medication, the quantity that extravasated, the location of the infusion site, the tissue response, and the duration of the process of extravasation. With this medication, options A and D are valid concerns but not your main concerns. Blanching at the site would not be a concern.
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While assessing a client who is 12 hours postoperative after a thoracotomy for lung cancer, a nurse notices that the lower chest tube is dislodged. Which action should the nurse take first?
a. Assess for drainage from the site. b. Cover the insertion site with sterile gauze. c. Contact the provider and obtain a suture kit. d. Reinsert the tube using sterile technique.
A nurse is explaining the rationale behind the use of Hypothermic devices to a patient's family. When relaying information what explanation should the nurse provide when asked why this garment provides compression to the legs and abdomen?
a. To help restore cellular perfusion b. Decreases internal hemorrhage c. Cools the patient to create less metabolic demand d. Applies pressure during the systole phase and relax pressure during the diastole phase
Researchers communicate their aims as problem statements, statements of purpose, research questions, or hypotheses. What are hypotheses?
A) Essential to the conduct of respectable scientific enquiry B) Needed only when there is an explicit theoretical framework C) Useful in giving direction to quantitative studies D) Not appropriate for many nursing research studies
How often would a nurse recommend a client eat or drink a source of vitamin C?
A) Once a week B) Once a month C) Three times a week D) Every day