Before administering an IV antibiotic, the nurse observes that the skin above the client's IV site is cool, swollen, and painful to touch. Which action should the nurse implement first?

Apply heat to the infiltrated site.

Document a delay in the administration of the antibiotic.

Start a new IV at a different site to administer the antibiotic.

Remove the infiltrated IV catheter.

Answer and Explanation

The Correct Answer is D

A. Applying heat may be indicated later, but the first action should be to address the infiltration.

B. Documenting the delay is important but not the immediate priority.

C. Starting a new IV site is necessary for continued medication administration but should be done after addressing the infiltration.

D. Removing the infiltrated IV catheter is the first priority to prevent further tissue damage and start appropriate treatment for infiltration.

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Correct Answer is B

Explanation

A. Assessing the client's ability to communicate is important but not the first step in addressing the immediate concerns related to depression.

B. Establishing a structured routine helps provide stability and encourages engagement in daily activities, which is essential for managing depression.

C. Arranging a meeting with the family is important for support but does not immediately address the client’s current refusal to eat or bathe.

D. Administering medication is important but should follow the implementation of supportive measures like establishing a routine that can improve the client's overall engagement and well-being.

Correct Answer is ["0.75"]

Explanation

To determine the correct dosage, you'll need to use the concentration of the reconstituted solution to find out how many milliliters contain the prescribed dose of 0.1875 mg.

Since the solution has a concentration of 0.25 mg per 1 mL, you would divide the prescribed dose by the concentration to find the volume to administer: 0.1875 mg / 0.25 mg/mL = 0.75 mL.

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Before administering an IV antibiotic, the nurse observes that the skin above the client's IV site is cool, swollen, and painful to touch. Which action should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day, refuses to take a bath, and refuses to eat. Which nursing intervention should the nurse implement first?

Correct Answer is B

Explanation

Correct Answer is ["0.75"]

Explanation

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