While assessing a client's peripheral IV site, the nurse observes edema and coolness around the insertion site. How should the nurse document this observation?

Air embolism

Phlebitis

Infiltration

Fluid overload

Answer and Explanation

The Correct Answer is C

A. Air embolism involves respiratory distress and is unrelated to local IV site findings.
B. Phlebitis presents with redness, warmth, pain, and sometimes a palpable cord, not coolness.
C. Infiltration occurs when IV fluid leaks into surrounding tissue causing edema and coolness at the site.
D. Fluid overload is a systemic condition, not localized to the IV site.

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Correct Answer is B

Explanation

A. Verbal explanation shows understanding but does not confirm the client can perform the skill correctly.
B. Direct observation allows the nurse to accurately assess the client’s technique, identify any errors, and provide immediate feedback — making it the most effective method.
C. Education is important but does not evaluate the client's skill performance.
D. Hemoglobin A1c reflects long-term glucose control and cannot assess immediate insulin administration competency, especially prior to discharge.

A. Fried chicken B. Mashed potatoes C. Dinner roll D. Tapioca pudding

Correct Answer is A

Explanation

A. Fried chicken is high in fat and should be avoided in clients with acute gallbladder inflammation (cholecystitis), as fatty foods can exacerbate symptoms like pain and nausea.
B. Mashed potatoes are low in fat and generally well tolerated if prepared without heavy cream or butter.
C. A dinner roll is typically low in fat and safe for someone on a low-fat diet.
D. Tapioca pudding is a low-fat dessert and appropriate for a client with gallbladder inflammation.

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While assessing a client's peripheral IV site, the nurse observes edema and coolness around the insertion site. How should the nurse document this observation?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self- administer insulin?

Correct Answer is B

Explanation

A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a client admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray?

Correct Answer is A

Explanation

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