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:
Baclofen is a muscle relaxant and antispastic agent. It can cause drowsiness and affect the ability to drive or operate machinery. Therefore, it’s advisable to avoid driving until the medication’s effects are evident.
Choice B rationale:
Headache is not a reason to stop taking baclofen. If a headache occurs, the client should consult with their healthcare provider for appropriate management.
Choice C rationale:
Diarrhea is not a common adverse effect of baclofen. More common side effects include drowsiness, dizziness, weakness, and fatigue.
Choice D rationale:
Baclofen can be taken with or without food. Taking it on an empty stomach is not necessary and may increase the risk of stomach upset.
So, the correct answer is A.
Correct Answer is ["10"]
Explanation
Step 1: Determine the Medication Concentration
- The total amount of medication in the solution is 250 mg.
- The total volume of the solution is 5 mL.
- To find the concentration per mL:
250 mg ÷ 5 mL = 50 mg/mL
Step 2: Determine the Required Volume
- The prescribed dose is 500 mg.
- To find the volume needed:
500 mg ÷ 50 mg/mL = 10 mL
Thus, the nurse should administer 10 mL of the solution to deliver the required 500 mg dose.
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