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:

Switching brands of phenytoin can lead to variations in drug absorption and serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice B rationale:

Altering the phenytoin administration regimen each week can lead to fluctuations in serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice C rationale:

Phenytoin does not turn urine blue. This is a side effect associated with some other medications, but not phenytoin. Therefore, this is not a correct instruction.

Choice D rationale:

Alcohol can increase serum phenytoin levels, potentially leading to toxicity. Therefore, this is a correct instruction.

So, the correct answer is D. Alcohol increases the chance of phenytoin toxicity.

A. Developing a respiratory infection. B. Taking too much prescribed medication. C. Insufficient sleep. D. Insufficient exercise.

Correct Answer is A

Explanation

Choice A rationale:

Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on the body, including infections, can exacerbate symptoms.

Choice B rationale:

Taking too much prescribed medication is not typically a cause of myasthenic crisis. However, medication changes should always be managed carefully.

Choice Crationale:

Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating symptoms, but it is not a primary cause of myasthenic crisis.

Choice Drationale:

Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help manage symptoms, lack of exercise is not a direct cause.

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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 discharge teaching with a client who has a prescription for phenytoin.Which of the following instructions should the nurse include in the teaching?.

Correct Answer is D

Explanation

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Correct Answer is A

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.).