A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter.
Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?.
"There's blood backing up my baby's IV tubing.”.
"There's a long red streak up my baby's arm.”.
"The tape is coming off the IV needle.”.
"My baby's fingers are looking swollen.”. .
The Correct Answer is D
Choice A rationale:
Blood backing up in the IV tubing indicates a problem with the IV line, not necessarily infiltration.
Choice B rationale:
A long red streak up the arm could indicate phlebitis, not infiltration.
Choice C rationale:
Loose tape could cause the IV needle to dislodge, but it doesn’t directly indicate infiltration.
Choice D rationale:
Swelling around the IV site is a common sign of infiltration.
So, the correct answer is D. “My baby’s fingers are looking swollen.”.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.5"]
Explanation
Step 1 sets up the equation: (20 mEq ÷ 40 mEq) × 15 mL.
Step 2 is to perform the division: 0.5 × 15 mL.
Step 3 is to perform the multiplication: of 7.5 mL.
So, the correct answer is 7.5 mL.
Correct Answer is B
Explanation
Choice A rationale:
Slow pulse is not a common side effect of benztropine.
Choice B rationale:
Difficulty voiding is a known side effect of benztropine due to its anticholinergic effects.
Choice C rationale:
Excessive salivation is not a common side effect of benztropine, dry mouth is more common.
Choice D rationale:
Diarrhea is not a common side effect of benztropine, constipation is more common.
So, the correct answer is B.
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