A nurse is assessing a client who is receiving continuous IV therapy through a peripheral IV. The catheter site is cool and taut, and there is IV fluid leaking.
The nurse should identify that the client has manifestations of which of the following complications?

Phlebitis.

Infection.

Infiltration.

Circulatory overload.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Phlebitis is inflammation of a vein, often associated with pain, redness, and warmth at the catheter site. In this case, the client's catheter site is described as cool and taut, which is not consistent with the manifestations of phlebitis.

Choice B rationale:

Infection typically presents with signs such as redness, warmth, swelling, and pain at the catheter site. The description of the client's catheter site as cool and taut is not indicative of infection.

Choice C rationale:

The client's symptoms, including a cool and taut catheter site and IV fluid leaking, are indicative of infiltration. Infiltration occurs when IV fluids inadvertently enter the surrounding tissue instead of the vein. It can lead to localized swelling and discomfort.

Choice D rationale:

Circulatory overload is characterized by symptoms such as shortness of breath, elevated blood pressure, and tachycardia. These symptoms are not consistent with the client's description of a cool and taut catheter site with IV fluid leaking.

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Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale: Advanced beginners are newly graduated nurses who rely on limited experience and follow guidelines strictly. They cannot yet mentor others effectively because they lack the necessary comprehensive knowledge and practical skills for precepting new staff members.

Choice B rationale: Proficient nurses have a deep understanding of clinical situations through experience. They can recognize patterns, predict outcomes, and provide effective mentorship as preceptors. They are skilled at guiding new staff members and improving their clinical performance.

Choice C rationale: Expert nurses possess an intuitive grasp of clinical situations and make decisions rapidly. While they are highly skilled, the role of preceptor is generally better suited to proficient nurses who are adept at breaking down complex tasks for new learners.

Choice D rationale: Competent nurses have a few years of practice and can plan and manage patient care efficiently. However, they are not yet at the stage where they can fluidly adapt to varying situations or mentor new staff as effectively as proficient nurses.

A. The ACA reduces disparities in health care. B. The ACA is primarily for individuals requiring tertiary care. C. Individuals must qualify to participate in ACA insurance coverage. D. Individuals with pre-existing conditions are not eligible for ACA coverage.

Correct Answer is A

Explanation

Choice B rationale:
The statement "The ACA is primarily for individuals requiring tertiary care" is not accurate. The Affordable Care Act (ACA) is designed to improve access to healthcare for a broad range of individuals, not just those in need of tertiary care. It aims to make healthcare coverage more affordable and accessible for all, regardless of the level of care needed.
Choice C rationale:
The statement "Individuals must qualify to participate in ACA insurance coverage" is correct to some extent. Individuals must meet certain eligibility criteria to enroll in ACA insurance plans, such as being a U.S. citizen or lawfully present, but it does not capture the full scope of the ACA's purpose. The primary goal of the ACA is to expand access to healthcare and reduce disparities, not just limited to qualification requirements.
Choice D rationale:
The statement "Individuals with pre-existing conditions are not eligible for ACA coverage" is incorrect. One of the significant achievements of the ACA is that it prohibits insurance companies from denying coverage to individuals with pre-existing conditions. In fact, the ACA has provisions to protect individuals with pre-existing conditions and ensure their access to insurance coverage.

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A nurse is assessing a client who is receiving continuous IV therapy through a peripheral IV. The catheter site is cool and taut, and there is IV fluid leaking.The nurse should identify that the client has manifestations of which of the following complications?

Nursing Test Bank

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A nurse is assessing a client who is receiving continuous IV therapy through a peripheral IV. The catheter site is cool and taut, and there is IV fluid leaking.
The nurse should identify that the client has manifestations of which of the following complications?