A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm. Which of the following findings indicates that the client has developed phlebitis at the IV site?

Coolness of the client's left forearm

Pallor of the client's left forearm

Erythema along the path of the vein

Pitting edema at the insertion site

Answer and Explanation

The Correct Answer is C

The rationale for this answer is that phlebitis is inflammation of a vein caused by mechanical, chemical, or bacterial irritation from an IV catheter or fluid. It manifests as redness, warmth, tenderness, and swelling along the path of the vein.

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Correct Answer is D

Explanation

A. "I will put some lubricant on the flat end of the suppository.": It is generally not necessary to use lubricant on the suppository. If lubrication is needed, it should be applied sparingly to the rounded end, not the flat end.

B. "I will lie on my left side to insert the suppository.": The recommended position for inserting a vaginal suppository is usually lying on your back with your knees bent or standing with one foot elevated, not lying on the left side.

C. “I can discontinue the medications once my symptoms are gone.": This is incorrect. It is important to complete the full course of medication to ensure the infection is fully treated, even if symptoms improve before finishing the medication.

D. "I will place the suppository as far inside my vagina as I can reach.”: This statement is correct. The suppository should be inserted high into the vagina to ensure it is placed correctly and will dissolve properly to treat the infection.

Correct Answer is ["475 "]

Explanation

To calculate the client's intake for that 4-hr period in ml, we need to convert the liquid amounts from oz to ml using the following formula:

1 ml = oz * 29.5735296

Using this formula, we can convert the milk, orange juice, tea, and water amounts to ml: Milk: 3 oz * 29.5735296 ml/oz = 88.7205888 ml

Orange juice: 2 oz * 29.5735296 ml/oz = 59.1470592 ml

Tea: 3 oz * 29.5735296 ml/oz = 88.7205888 ml

Water: 4 oz * 29.5735296 ml/oz = 118.2941184 ml

The total intake from these liquids is:

88.7205888 + 59.1470592 + 88.7205888 + 118.2941184 = 354.8823552 ml We also need to add the intake from the IV infusion, which is given at a rate of 30 mL/hr for 4 hours:

30 mL/hr * 4 hr = 120 mL

The total intake from the IV infusion is:

120 mL

The total intake for that 4-hr period in ml is:

354.8823552 + 120 = 474.8823552 ml

Rounding the answer to the nearest whole number, we get:

475 ml

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A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm. Which of the following findings indicates that the client has developed phlebitis at the IV site?

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about the administration of clotrimazole vaginal suppositories. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

Correct Answer is ["475 "]

Explanation

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