A client, who is receiving intravenous chemotherapy into a peripheral vein, says that the arm burns terribly in and around the intravenous site. What is the nurse's best first action?

Slow the rate of infusion

Apply a warm compress to the site

Discontinue the infusion

Check for blood return

Answer and Explanation

The Correct Answer is C

A. Slowing the rate of infusion may provide some temporary relief, but it does not address the underlying issue and may worsen the situation.
B. Applying a warm compress may soothe discomfort but is not the priority action when a burning sensation is reported, which could indicate potential extravasation.
C. Discontinuing the infusion is the best first action to prevent further damage to the tissue and to assess for complications such as infiltration or extravasation.
D. Checking for blood return can help assess the patency of the IV line, but the priority is to stop the infusion immediately to prevent complications.

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Correct Answer is B

Explanation

A. High-protein foods are not typically irritating after an esophagogastrectomy and are essential for healing and maintaining nutritional status. Clients should be encouraged to eat balanced meals with adequate protein.
B. Clients recovering from an esophagogastrectomy should avoid snacking between meals to prevent dumping syndrome, a common complication where food moves too quickly from the stomach to the small intestine. Instead, small, frequent meals should be consumed.
C. While pureed foods may be part of the immediate post-operative diet, the long-term goal is to gradually reintroduce solid foods, following the physician's dietary recommendations. A pureed diet is not necessarily required long-term.
D. Lying flat after meals increases the risk of reflux, which can be particularly harmful to clients recovering from esophageal surgery. Clients should be advised to stay upright after eating to aid digestion and prevent reflux.

Correct Answer is ["2"]

Explanation

Given:

Prescribed dosage: 40 mg
Dosage per tablet: 20 mg

Calculation:

Number of tablets = Prescribed dosage / Dosage per tablet
Number of tablets = 40 mg / 20 mg
Number of tablets = 2 tablets

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A client, who is receiving intravenous chemotherapy into a peripheral vein, says that the arm burns terribly in and around the intravenous site. What is the nurse's best first action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client recovering from an esophagogastrectomy is preparing for discharge. What instructions should be included in the dietary teaching for this client?

Correct Answer is B

Explanation

A patient is to receive 40 mg PO of Lisinopril. The medication is supplied in 20 mg tablets. What should the nurse administer?

Correct Answer is ["2"]

Explanation

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