A nurse is monitoring a client's IV site.
The nurse should report which of the following findings as manifestations of phlebitis? (Select all that apply.).
Blistering around the insertion site.
Streak formation along the vein.
Erythema at the insertion site.
Warmth at insertion site.
Correct Answer : B,C,D
Choice A rationale:
Blistering around the insertion site is not a common sign of phlebitis. It could indicate a more severe complication like extravasation or infiltration.
Choice B rationale:
Streak formation along the vein is a classic sign of phlebitis. It indicates inflammation and possible infection.
Choice C rationale:
Erythema at the insertion site is another common sign of phlebitis. It indicates inflammation.
Choice D rationale:
Warmth at the insertion site is also a common sign of phlebitis. It is caused by increased blood flow to the area due to inflammation. So, the correct answers are B, C, and D.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1 is to determine the amount of lorazepam needed, which is 2 mg as prescribed.
Step 2 is to calculate the number of tablets required. Since each tablet contains 1 mg, we divide the prescribed dose by the strength per tablet:
2 mg ÷ 1 mg per tablet = 2 tablets
Therefore, the correct answer is 2 tablets.
Correct Answer is ["6"]
Explanation
Step 1 is to determine the amount of haloperidol lactate that needs to be administered, which is 12 mg.
Step 2 is to calculate the volume of the haloperidol oral solution needed to deliver this dose. This is done using the formula:
Dose (mg) ÷ Concentration (mg/mL)
Given that the available concentration is 2 mg/mL, we calculate:
12 mg ÷ 2 mg/mL = 6 mL
Therefore, the nurse should administer 6 mL of the haloperidol oral solution.
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