The nurse is checking IV sites carefully for signs of infiltration, which are:
1. burning sensation, pain, and puffy site.
2. pain, heat, and puffy site.
3. burning sensation and no feeling at the site.
4. red streak up the arm.
1
IV fluid in the immediate tissues causes pain and swelling of the adjacent tissues.
You might also like to view...
The nurse documents client care, remembering that the following guidelines must be followed: Standard Text: Select all that apply
1. Each entry must be dated and timed per agency policy 2. Record care before it is provided per agency policy 3. Make all entries in blue or black ink 4. Use only accepted abbreviations and symbols 5. Spell medication names correctly to avoid medication errors
A mother who has achondroplasia asks the nurse if her infant will be at risk for the same diagnosis. The nurse knows that:
1. If the father has the same diagnosis, then the child has a 50% chance of having achondroplasia. 2. If the father does not have the same diagnosis, then the child has a75% chance of having achondroplasia. 3. Over 80 percent of the people with achondroplasia are born to parents with normal height, so the infant may be of normal height. 4. Achondroplasia is rare, and the mother should watch for signs and symptoms as the child grows.
A nurse is shopping and notes an individual who is acting oddly. The nurse notes that the person is sweating and appears confused. The nurse approaches the individual, helps him find a seat, and takes the pulse, which is increased. The person complains of a headache. Which is this nurse's first action in assisting this individual?
A. Ask for someone in the store to call for emergency assistance. B. Ask the individual if he has any hard candy in his pocket. C. Lie the individual on the floor and raise the individual's feet above the heart. D. Determine if the store has an automated external defibrillator (AED).
A 48-year-old male client with a history of chronic obstructive pulmonary disease (COPD) is scheduled for an inguinal hernia repair
The nurse instructs that client that he can expect the health care provider to order which of the following tests before surgery? 1. Human immunodeficiency virus (HIV) antibody 2. Prolactin level 3. Pulmonary function test 4. Glucose tolerance test