A nurse is monitoring a client's IV site.
The nurse should report which of the following findings as manifestations of phlebitis? (Select all that apply.).
Blistering around the insertion site.
Streak formation along the vein.
Erythema at the insertion site.
Warmth at insertion site.
Correct Answer : B,C,D
Choice A rationale:
Blistering around the insertion site is not a common sign of phlebitis. It could indicate a more severe complication like extravasation or infiltration.
Choice B rationale:
Streak formation along the vein is a classic sign of phlebitis. It indicates inflammation and possible infection.
Choice C rationale:
Erythema at the insertion site is another common sign of phlebitis. It indicates inflammation.
Choice D rationale:
Warmth at the insertion site is also a common sign of phlebitis. It is caused by increased blood flow to the area due to inflammation. So, the correct answers are B, C, and D.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.
Choice B rationale:
Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.
Choice C rationale:
Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.
Choice D rationale:
Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day.
So, the correct answer is, none of the above.
Correct Answer is ["1.5"]
Explanation
Step 1 is to determine the amount of citalopram that needs to be administered, which is 30 mg.
Step 2 is to calculate the number of tablets needed to deliver this dose. This is done using the formula:
Dose (mg) ÷ Strength per tablet (mg/tab)
Given that each tablet contains 20 mg, we calculate:
30 mg ÷ 20 mg/tab = 1.5 tablets
Therefore, the nurse should administer 1.5 tablets of citalopram.
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