The nurse is discontinuing a client's IV line in preparation for the client's discharge home. Upon withdrawing the cannula from the peripheral site, the nurse notes that the tip of the cannula is missing. The first thing that the nurse should do is:
1. Notify the health care provider immediately
2. Apply pressure to the IV site
3. Apply a tourniquet high on the extremity
4. Ask another nurse to double-check the cannula
ANS: 3
The first priority of the nurse is to apply a tourniquet high on the extremity to restrict mobility of catheter embolus. The health care provider needs to be notified after the tourniquet is applied.
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Which of the following parental demonstrations indicates that the parents understand the nurse's teaching with regard to prevention of iron-deficiency anemia?
1. The parents feed their infant with a formula that is not iron-fortified. 2. The child's vitamin C consumption is limited after one year of age. 3. The parents start iron-fortified infant cereal at four to six months of age. 4. Cow's milk is introduced into the child's diet at six months of age.
The student nurse is learning about the effects of heat and cold when used in a pain management plan. Which of the following accurately describes one of these effects?
A) Cold results in vasodilation. B) Cold alters capillary permeability. C) Heat results in vasoconstriction. D) Heat decreases blood flow to the area.
Nurse X has always maintained that "whatever you think is right, is right" in his personal and professional relationships on your unit. Upon what ethical principle is he basing this kind of decision making?
a. beneficence c. teleology b. nonmaleficence d. relativism
A nurse on the burn unit is giving an inservice to a group of students. Which is the role of the hypodermis?
A) Act as a waterproof barrier protecting the inside of the body B) Restrict penetration from microorganisms C) Nourish and support the epidermis D) Anchor the skin to the underlying tissues and organs