A nurse is assisting with the care of a client who has pneumonia.
For each potential nursing action, click to specify if the potential action is anticipated or contraindicated for the client.
Administer phytonadione.
Apply cool compress to the extremity.
Elevate extremity.
Suggest irrigating the IV catheter
Assist in inserting a new IV catheter in a site distal to infiltration site
Send the catheter tip for culture.
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}
Administer phytonadione (Vitamin K): Contraindicated
There is no indication that the client has a bleeding disorder or is on anticoagulant therapy requiring Vitamin K. This intervention is not relevant to the client's condition.
Apply cool compress to the extremity: Anticipated
A cool compress helps reduce pain and swelling associated with IV infiltration by constricting blood vessels and limiting the spread of IV fluid into surrounding tissues.
Elevate extremity: Anticipated
Elevation promotes venous return and reduces edema in the infiltrated extremity, aiding in symptom relief and tissue recovery.
Suggest irrigating the IV catheter: Contraindicated
Flushing or irrigating an infiltrated IV catheter could worsen tissue damage by forcing more fluid into the surrounding area. The catheter should be removed immediately.
Assist in inserting a new IV catheter in a site distal to the infiltration site: Contraindicated
A new IV should be placed proximal (above) rather than distal to the infiltration site to ensure proper circulation and avoid further infiltration.
Send the catheter tip for culture: Anticipated
Given the client’s edema, pain, and potential IV infiltration, infection is a concern. Sending the catheter tip for culture helps rule out phlebitis or IV-related infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Nutritionist:
While a nutritionist can provide valuable advice on feeding, including breastfeeding or formula feeding, the primary issue here is not related to nutritional guidance but rather the financial concern about paying for baby formula. A nutritionist may provide support, but they are not typically responsible for addressing financial needs or coordinating resources for assistance.
B) Case manager:
The case manager is the most appropriate team member to refer to in this situation. A case manager is responsible for assessing the client’s needs and connecting them with resources such as financial assistance, community support programs, or social services. Since the client is unable to afford baby formula, the case manager can help by referring the client to programs that may provide formula at no cost or at a reduced price, such as the Women, Infants, and Children (WIC) program.
C) Primary care provider:
The primary care provider may offer support and referrals but would generally not be the first point of contact for addressing financial barriers to obtaining baby formula. The primary care provider can provide medical advice related to the client's postpartum care and the infant's health, but they are not typically the best person to address financial concerns directly.
D) Pediatric nurse practitioner:
A pediatric nurse practitioner focuses on providing care for the child, not necessarily addressing the financial needs of the family. While they can provide guidance on infant care and feeding, the issue of financial support for formula is outside their role. The case manager would be the more appropriate referral to assist with financial concerns.
Correct Answer is A
Explanation
A) Temporary memory loss: Temporary memory loss is a well-known and common side effect following electroconvulsive therapy (ECT). Clients may experience short-term memory issues, such as forgetting events that occurred around the time of the procedure or difficulties recalling information. This side effect is usually temporary and tends to resolve as the brain recovers from the procedure.
B) Voice alteration: Voice alteration is not a typical side effect of electroconvulsive therapy. ECT primarily affects brain function, particularly memory and cognitive processes, and does not have a direct effect on the voice or vocal cords.
C) Tingling of the scalp: Tingling of the scalp is not a common adverse reaction to
electroconvulsive therapy. While there may be some minor physical sensations or discomfort during the procedure, tingling is not a typical side effect associated with ECT.
D) Neck pain: Neck pain is not a usual adverse reaction of electroconvulsive therapy. Some discomfort might occur after the procedure due to muscle tension or the positioning during the therapy, but it is not a common or prominent side effect like memory loss.
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