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
To calculate the volume of fluoxetine to administer, we need to use the formula for dose conversion.
Step 1 is to set up the equation: 30 mg (desired dose) ÷ (20 mg/5 mL). This simplifies to 30 mg × (5 mL/20 mg). The mg units cancel out, leaving us with the volume in mL.
So, the correct answer is 7.5 mL.
Correct Answer is B
Explanation
Choice A rationale:
Fresh fish is not a food that needs to be eliminated from the diet of a client taking an MAOI like selegiline. It does not contain tyramine, which can cause a hypertensive crisis in clients taking MAOIs.
Choice B rationale:
Cheddar cheese is a food high in tyramine and should be eliminated from the diet of a client taking an MAOI. Consuming foods high in tyramine can lead to a hypertensive crisis in these clients.
Choice C rationale:
Cherries are not a food that needs to be eliminated from the diet of a client taking an MAOI. They do not contain tyramine.
Choice D rationale:
Chicken is not a food that needs to be eliminated from the diet of a client taking an MAOI. It does not contain tyramine.
So, the correct answer is B. Cheddar cheese.
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