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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.”. .

Answer and Explanation

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.”.

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Correct Answer is B

Explanation

Choice A rationale:

Relaxing in a hot tub spa each day is not recommended for MS patients as heat can exacerbate symptoms.

Choice B rationale:

Implementing a schedule to include periods of rest is beneficial as fatigue is a common symptom of MS12.

Choice C rationale:

Waiting to perform difficult tasks until later in the day is not necessarily beneficial as fatigue can occur at any time.

Choice D rationale:

Limiting intake of dairy products is not specifically related to managing MS12.

So, the correct answer is B.

A. "I will notify my provider before taking any other medications.”. B. "I have made an appointment to see my dentist next week.”. C. "I'll be glad when my seizures stop so I can quit taking this medicine.”. D. "I will take this medication with meals.”.

Correct Answer is C

Explanation

Choice A rationale:

The client should indeed notify their provider before taking any other medications, as phenytoin can interact with many other drugs. This statement does not indicate a need for further teaching.

Choice B rationale:

Regular dental appointments are important as phenytoin can cause gum hyperplasia. This statement does not indicate a need for further teaching.

Choice C rationale:

This statement indicates a misunderstanding. Phenytoin is used to control seizures, not cure them. The client should not stop taking the medication when their seizures stop.

Choice D rationale:

Phenytoin can be taken with or without food, but it should be taken consistently in the same manner. This statement does not indicate a need for further teaching.

So, the correct answer is C, after analyzing all choices.

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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?.

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Correct Answer is B

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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?.