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
Sleep deprivation is a condition that occurs when a person does not get enough quality sleep or has a disrupted sleep pattern. Sleep deprivation can affect a person's physical, mental, and emotional health. One of the effects of sleep deprivation is decreased judgment, which means that a person may have difficulty making decisions, solving problems, and concentrating. The nurse should recognize this finding as an indication that the client has sleep deprivation and intervene accordingly.
Correct Answer is D
Explanation
The nurse should first palpate the abdomen to assess for signs of appendicitis, such as rebound tenderness, guarding, or rigidity. Appendicitis is a medical emergency that requires prompt diagnosis and treatment to prevent rupture and peritonitis.
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