The nurse is initiating an intravenous access. After the vein has been pierced by the IV needle the nurse would expect to see what to indicate that the needle is in the vein?

a. little puffiness at the IV site c. Slight bruising at the site
b. backflow of blood into the tubing d. all of the above


ANS: B

Feedback
A Incorrect: This would indicate the possibility of piercing through the vein.
B Correct: A backflow of blood in the tubing indicates that the needle is located in the vein.
C Incorrect: This would indicate the possibility of piercing through the vein.
D Incorrect: a and c are incorrect.

Nursing

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A nurse is involved in implementing the Community Health Promotion Model. Which of the fol-lowing best describes the action being taken by the nurse?

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What information would a home care nurse provide to a client who is measuring peak expiratory flow rate at home?

A) "Although the test is uncomfortable, it is not painful." B) "You will be asked to forcefully exhale into a mouthpiece." C) "The test is used to determine how much air you inhale." D) "You will do this each morning while still lying in bed."

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A patient with stage 1 Alzheimer's disease tires easily and prefers to stay home rather than attend social activities. The spouse does the grocery shopping because the patient cannot remember what to buy. Which nursing diagnosis applies at this time?

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A client is complaining of excessive earwax that diminishes hearing ability. What medication will the nurse use to assist the client?

a. acetic acid b. carbamide peroxide c. hydrocortisone d. glycerin

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