A nurse is caring for a client with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site.
After removing the device, what action will the nurse take to relieve pain?
Massage the site with scented oils.
Place warm compresses on the site.
Administer topical lidocaine to the site.
Administer prescribed oral pain medication.
The Correct Answer is B
The correct answer is Choice B.
Choice A rationale: Massaging the site with scented oils is not recommended as it may further irritate the inflamed tissue. Additionally, scented oils can cause allergic reactions or skin irritation, worsening the client's discomfort.
Choice B rationale: Applying warm compresses to the site increases blood flow, reduces inflammation, and provides pain relief. Warm compresses also promote healing by improving circulation and reducing edema, making them an appropriate intervention for phlebitis.
Choice C rationale: Administering topical lidocaine to the site is generally not recommended without a prescription. Although it may provide localized pain relief, it can mask underlying issues and delay appropriate medical assessment and treatment.
Choice D rationale: Administering prescribed oral pain medication can provide systemic pain relief. However, it may not be as effective as a localized treatment for reducing inflammation and discomfort at the site of the peripheral vascular access device.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Utilizing a respirator when handling urine output is not the most appropriate action for a nurse caring for a patient with MRSA.
MRSA is not typically transmitted through the air, but rather through direct contact with infected wounds or contaminated surfaces.
While a respirator may offer some protection against airborne particles, it is not necessary for routine care of a patient with MRSA.
It is more important to focus on hand hygiene and other infection control measures.
Choice B rationale:
Restricting visitors strictly to immediate family members only is not necessary for a patient with MRSA.
While it is important to limit the number of visitors to reduce the risk of spreading infection, there is no need to restrict visitors to immediate family members only.
Visitors should be instructed on proper hand hygiene and other infection control measures, and they should avoid contact with the patient's wounds or dressings.
Choice C rationale:
Washing hands only after removing gloves post-care is not sufficient for preventing the spread of MRSA. It is important to wash hands before and after any contact with the patient, even when wearing gloves.
This is because gloves can become contaminated with bacteria, and hand washing helps to remove any bacteria that may have gotten on the hands.
Choice D rationale:
Preparing to administer vancomycin is the most appropriate action for a nurse caring for a patient with MRSA. Vancomycin is an antibiotic that is effective against MRSA.
It is often used to treat MRSA infections, and it can help to prevent the infection from spreading.
Correct Answer is C
Explanation
Choice A rationale:
This statement is accurate. Early Lyme disease (Stage I) is typically treated with oral antibiotics for 14 to 21 days. This is often effective in clearing the infection and preventing further complications.
Choice B rationale:
This statement is also accurate. A red rash that may resemble a bull's eye is a common early symptom of Lyme disease. It often appears at the site of the tick bite, typically within 3 to 30 days after the bite.
Choice C rationale:
This statement is incorrect. While Lyme disease can be serious if not treated, it is rarely fatal. Most people who are treated for Lyme disease recover fully. However, if left untreated, it can lead to chronic health problems, such as arthritis, neurological problems, and heart issues.
Choice D rationale:
This statement is accurate. Taking precautions against tick bites is essential for preventing Lyme disease. Ticks are most active during the warmer months, so it's crucial to be vigilant about tick prevention during the spring, summer, and fall.
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