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 A
Explanation
Choice A rationale:
Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on the body, including infections, can exacerbate symptoms.
Choice B rationale:
Taking too much prescribed medication is not typically a cause of myasthenic crisis. However, medication changes should always be managed carefully.
Choice Crationale:
Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating symptoms, but it is not a primary cause of myasthenic crisis.
Choice Drationale:
Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help manage symptoms, lack of exercise is not a direct cause.
Correct Answer is ["2"]
Explanation
Step 1 is: Identify the prescribed dose, which is 150 mg. Step 2 is: Identify the available dose, which is 75 mg per tablet. Step 3 is: Divide the prescribed dose by the available dose. So, 150 mg ÷ 75 mg/tablet. Step 4 is: The result is 2 tablets.
So, the correct answer is 2 tablets.
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