A student is learning how to administer intravenous fluids, including accessing a vein. Although all of the following may occur, which is the most potentially harmful risk posed for the client when accessing the vein?
A) Discomfort
B) Pain
C) Minor bleeding
D) Infection
Ans: D
Accessing a vein increases the risk for infection. Sterile technique must be used when puncturing the vein.
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A client states, "I can't take the morphine now because I might need it later when the pain gets worse." Which of these responses by the nurse would be BEST?
a. "If you're afraid of becoming addicted, don't worry. The dose can be increased if that happens." b. "I'm not going to stand here and let you suffer. You need to take the medication." c. "The dose of morphine can safely be in-creased if the effects lessen over time. There's no need for you to suffer now." d. "You're in charge of your pain management."
A child will start treatment for central precocious puberty. What synthetic hormone will be injected?
a. Thyrotropin b. Gonadotropins c. Somatotropic hormone d. Luteinizing hormone–releasing hormone
Which of the following activities would be considered part of the engagement and active participation phase of home care nursing? Select all that apply
a. review of the client's previous records b. assessment of the safety of the general living environment c. evaluation of the caretaker's ability to assume responsibility for the child d. evaluation of electrical sources, including a backup electrical source if the client is ventilator-dependent
The nurse is preparing a care plan for an elderly client diagnosed with hypertension, who is prescribed prazosin (Minipress) 1 mg 2 times a day. Which instructions should the nurse include in the care plan for this client?
Standard Text: Select all that apply. 1. This drug decreases urinary output and causes urinary retention. 2. The first dose should be given at bedtime. 3. Monitor for drug-related side effects such as dizziness, fatigue, and weakness. 4. Client must be recumbent for 3 to 4 hours if the first dose is given during the daytime. 5. This drug can cause severe constipation, so a high-fiber diet is advisable.