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 B
Explanation
Choice A rationale:
Relaxing in a hot tub spa each day is not recommended for MS patients as heat can exacerbate symptoms.
Choice B rationale:
Implementing a schedule to include periods of rest is beneficial as fatigue is a common symptom of MS12.
Choice C rationale:
Waiting to perform difficult tasks until later in the day is not necessarily beneficial as fatigue can occur at any time.
Choice D rationale:
Limiting intake of dairy products is not specifically related to managing MS12.
So, the correct answer is B.
Correct Answer is B
Explanation
Choice A rationale:
Acamprosate is used to help manage alcohol dependence, but it’s not typically used for acute withdrawal symptoms.
Choice B rationale:
Lorazepam is a benzodiazepine, which is the first-line treatment for alcohol withdrawal delirium due to its efficacy in reducing withdrawal symptoms and preventing complications.
Choice C rationale:
Disulfiram is used as a deterrent for alcohol consumption, not for managing withdrawal symptoms.
Choice D rationale:
Methadone is used for opioid dependence, not alcohol withdrawal.
So, the correct answer is B. Lorazepam.
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