When inspecting the IV site of a patient receiving a vesicant chemotherapy agent, the licensed practical nurse (LPN) notes a small area of swelling. What should the LPN do first?
a. Check the site every hour.
b. Document the finding in the chart.
c. Discontinue the infusion and notify the RN.
d. No action is needed; this is an expected finding.
ANS: C
C. Vesicant drugs cause blistering of tissue, eventually leading to necrosis if the drugs infiltrate soft tissue by leaking out of the blood vessel. If this occurs, the infusion must be stopped immediately. A. B. D. Serious damage can occur if the nurse takes time to document or rechecks in an hour.
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A nurse holds an exercise class for older adults and knows which of the following statements listed below by a class member requires clarification?
A) "Regular exercise can prevent the blood clots that cause many strokes." B) "Exercise can help you digest your food more quickly and efficiently." C) "Physical activity can help diabetics stabilize their blood sugars." D) "Exercise can help to keep down the salt levels that cause high blood pressure."
Successful implementation of a system can be facilitated by addressing significant barriers presented by staff. Which aspect of resistance should be addressed by committee members during the planning phase?
1. Staff members need to control the workflow and do not want changes imposed on them. 2. The impact of the change on off shift personnel 3. The nurse to patient ratio 4. Emotions of staff
What parents should have the most difficult time coping with their child's hospitalization?
a. Parents of a child hospitalized for juvenile arthritis b. Parents of a child hospitalized with a recent diagnosis of bronchiolitis c. Parents of a child hospitalized for sepsis resulting from an untreated injury d. Parents of a child hospitalized for surgical correction of undescended testicles
Heparin can be administered by IV infusion. An infusion pump should be used to ensure accuracy
Indicate whether the statement is true or false