When inspecting the intravenous site of a patient receiving a vesicant chemotherapy agent, the LPN notes a small area of swelling. What should the LPN do first?
a. Discontinue the infusion and notify the RN.
b. Document the finding in the chart.
c. Check the site every hour.
d. No action is needed; this is an expected finding.
ANS: A
Vesicant drugs cause blistering of tissue, which eventually leads to necrosis if they infiltrate, or leak out of the blood vessel, into soft tissue. If this occurs, the infusion must be stopped immediately. Serious damage can occur if the nurse takes time to document or rechecks in an hour.
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In a seminar, Nurse T presents a meta-analysis in support of his position that all citizens over age 50 should be screened for hypertension. Nurse T's presentation uses:
A) The compiled results from several research studies B) Tables and graphs prepared using PowerPoint C) A detailed breakdown of costs and projected benefits D) A comparison of communities that provide such screening
To complete a nursing history on a client with a fourth-grade education, the nurse would use which of the following methods?
1. Ask the client to complete the assessment form. 2. Give the client extra time to complete the assessment form. 3. Ask the client the assessment questions using simple, lay terms. 4. Give the client's family member the assessment form to complete.
Which vitamin is needed for resistance to infection?
a. Vitamin K b. Vitamin C c. Vitamin D d. Folic acid
A child is to begin long-term glucocorticoid therapy. The parents ask the nurse about the effects of this drug on the child's growth. Which response by the nurse is correct?
a. "A smaller dose may be indicated for your child." b. "Ask your provider about every other day dosing." c. "Long-acting glucocorticoid preparations should prevent growth suppression." d. "Oral glucocorticoids rarely cause growth suppression."