The nurse is caring for a patient receiving antineoplastic medications intravenously. The nurse discovers that the intravenous site is red, edematous, and painful
The nurse knows that antineoplastic medications are vesicant medications and documents that the patient has experienced which of the following events? a. Occlusion
b. Extravasation
c. Phlebitis
d. Thrombophlebitis
B
When a vesicant medication infiltrates the tissue, this is called an extravasation. Occlusion refers to a thrombus or fibrin sheath that impedes the flow of IV fluids. Phlebitis occurs with redness surrounding the vein, and extravasation leads to trauma within the vein
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Max says, "Nurse, see that man on the television? He is the reason why I am sick. He told them to make me this way." The nurse documents this as an episode of a(n):
A. Hallucination. B. Delusion. C. Illusion. D. Autistic thought.
Children receiving long-term systemic corticosteroid therapy are most at risk for
a. Hypotension b. Dilation of blood vessels in the cheeks c. Growth delays d. Decreased appetite and weight loss
Common Law
What will be an ideal response?
Which clinical indicators should the nurse monitor when a patient takes a cholinesterase inhibitor?
A. Urinary retention B. Increased heart rate C. Decreased gastric secretion D. Increased bronchial secretion