A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm. Which of the following findings indicates that the client has developed phlebitis at the IV site?
Coolness of the client's left forearm
Pallor of the client's left forearm
Erythema along the path of the vein
Pitting edema at the insertion site
The Correct Answer is C
The rationale for this answer is that phlebitis is inflammation of a vein caused by mechanical, chemical, or bacterial irritation from an IV catheter or fluid. It manifests as redness, warmth, tenderness, and swelling along the path of the vein.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A tracheostomy is a surgical opening in the neck that allows air to enter the lungs through a tube called a tracheostomy tube. The tube has two parts: an outer cannula that stays in place and an inner cannula that can be removed for cleaning. The tracheostomy ties are used to secure the tube to the neck and prevent it from falling out. They should be adjusted to allow one finger to fit snugly underneath so that they are not too tight or too loose.
Correct Answer is B
Explanation
To prevent electrical shocks and fires, the nurse should instruct residents to disconnect electrical equipment by grasping the plug, not by pulling on the cord. The nurse should also advise residents to avoid taping electrical cords to the floor, as this can damage the insulation and create a tripping hazard. The nurse should warn residents not to use electrical equipment with exposed wires or frayed cords, and not to cover them with tape, as this can increase the risk of sparks and short circuits. The nurse should remind residents to clean electrical equipment only after disconnecting it from the power source and following the manufacturer's instructions.
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