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 B

Explanation

To prevent electrical shocks and fires, the nurse should instruct residents to disconnect electrical equipment by grasping the plug, not by pulling on the cord. The nurse should also advise residents to avoid taping electrical cords to the floor, as this can damage the insulation and create a tripping hazard. The nurse should warn residents not to use electrical equipment with exposed wires or frayed cords, and not to cover them with tape, as this can increase the risk of sparks and short circuits. The nurse should remind residents to clean electrical equipment only after disconnecting it from the power source and following the manufacturer's instructions.

A. “Would you like me to give you a back massage?" B. "Why do you think pain medication is not going to help you?" C. "You may take any herbal remedies you bring from home." D. "I'm sure it will work if you just give it a chance."

Correct Answer is A

Explanation

The rationale for this answer is that a back massage is a non-pharmacological intervention that can help reduce pain by promoting relaxation and increasing blood circulation. It also shows respect for the client's preference and offers a choice of alternative therapy.

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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 at an assisted living facility is preparing an in-service for residents about electrical safety. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who reports a pain level of 5 on a scale from 0 to 10. The client informs the nurse that pain medications are not an option for managing pain. Which of the following is an appropriate response by the nurse?

Correct Answer is A

Explanation

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