A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter.
Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?.
"There's blood backing up my baby's IV tubing.”.
"There's a long red streak up my baby's arm.”.
"The tape is coming off the IV needle.”.
"My baby's fingers are looking swollen.”. .
The Correct Answer is D
Choice A rationale:
Blood backing up in the IV tubing indicates a problem with the IV line, not necessarily infiltration.
Choice B rationale:
A long red streak up the arm could indicate phlebitis, not infiltration.
Choice C rationale:
Loose tape could cause the IV needle to dislodge, but it doesn’t directly indicate infiltration.
Choice D rationale:
Swelling around the IV site is a common sign of infiltration.
So, the correct answer is D. “My baby’s fingers are looking swollen.”.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3"]
Explanation
Step 1 is to determine the total amount of medication needed, which is 750 mg. Step 2 is to convert the medication needed into mL using the medication’s concentration. So, 750 mg ÷ (250 mg/5 mL) = 15 mL.
So, the correct answer is 15 mL.
Correct Answer is ["6"]
Explanation
Step 1 is to determine the amount of haloperidol lactate that needs to be administered, which is 12 mg.
Step 2 is to calculate the volume of the haloperidol oral solution needed to deliver this dose. This is done using the formula:
Dose (mg) ÷ Concentration (mg/mL)
Given that the available concentration is 2 mg/mL, we calculate:
12 mg ÷ 2 mg/mL = 6 mL
Therefore, the nurse should administer 6 mL of the haloperidol oral solution.
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