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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pancreas transplantation is rare and not a primary treatment for type 2 diabetes.
B. Oral antidiabetic agents should be taken regularly as prescribed, not only when blood sugar is high.
C. Lifestyle modification, especially weight loss, is the cornerstone of type 2 diabetes management and can significantly improve insulin sensitivity.
D. Insulin therapy is not the primary treatment for all clients with type 2 diabetes; many manage with lifestyle and oral agents first.
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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