A nurse is collecting data from a client who requires bed rest and has developed thrombophlebitis. Which of the following findings should the nurse expect when examining the client's leg?

Cool skin

Numbness

Edema

Pallor

Answer and Explanation

The Correct Answer is C

A. Cool skin: Cool skin is not typically associated with thrombophlebitis. It is more common with arterial issues rather than venous problems.

B. Numbness: Numbness is generally a sign of nerve involvement or arterial occlusion, not a classic finding of thrombophlebitis, which primarily affects veins.

C. Edema: Edema is a common finding with thrombophlebitis due to venous inflammation and obstruction of blood flow, which leads to fluid accumulation in the affected limb.

D. Pallor: Pallor is more commonly associated with arterial insufficiency rather than venous issues like thrombophlebitis. Thrombophlebitis often presents with redness and warmth instead of pallor.

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Correct Answer is A

Explanation

A. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart." Nitroglycerin works by dilating the coronary arteries, increasing blood flow and oxygen delivery to the heart muscle, thereby reducing angina.

B. "Nitroglycerin relieves nausea and prevents vomiting, which could lead to aspiration." Nitroglycerin does not have an antiemetic function or impact nausea and vomiting.

C. "Nitroglycerin acts as a bronchodilator to open small airways and decrease shortness of breath." Nitroglycerin is not a bronchodilator. It does not act on the airways but instead works on blood vessels.

D. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries." Nitroglycerin does not dissolve blood clots. Thrombolytic agents are used for clot dissolution, not nitroglycerin.

Correct Answer is ["94"]

Explanation

To calculate the rate, divide the total volume to be infused by the time (in hours).

Rate =750 mL ÷ 8 hr

= 93.75 mL/hr

Rounded to the nearest whole number: 94 mL/hr.

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A nurse is collecting data from a client who requires bed rest and has developed thrombophlebitis. Which of the following findings should the nurse expect when examining the client's leg?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

nurse is caring for a client who is newly-admitted and has angina. The client asks the nurse, "Why am I taking nitroglycerin?" Which of the lowing responses should the nurse make?

Correct Answer is A

Explanation

A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["94"]

Explanation

A nurse at a provider's office receives a telephone call from a client who reports nausea and has unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

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A nurse is collecting data from a client who requires bed rest and has developed thrombophlebitis. Which of the following findings should the nurse expect when examining the client's leg?