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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.

Choice B rationale:

If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.

Choice C rationale:

Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.

Choice D rationale:

Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial.

So, the correct answer is,

Correct Answer is ["94"]

Explanation

Step 1 is to calculate the rate of infusion. The formula is total volume ÷ total time. So, (750 mL ÷ 8 hr) = 93.75 mL/hr. Rounding to the nearest whole number gives 94 mL/hr.

So, the correct answer is 94 mL/hr.

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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.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.Which of the following instructions should the nurse include in the teaching?.

Correct Answer is D

Explanation

A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies.

Correct Answer is ["94"]

Explanation

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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.).