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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:

The client should maintain a normal fluid intake while taking lithium, not limit it to 800 ounces per day.

Choice B rationale:

Lithium can be taken with or without food. This instruction is not necessary.

Choice C rationale:

It can indeed take up to 3 weeks to see the full effects of lithium. This is a correct instruction.

Choice D rationale:

The client should maintain a normal sodium diet while taking lithium, not a low-sodium diet.

So, the correct answer is C, after analyzing all choices.

Correct Answer is ["0.5 mL."]

Explanation

Step 1 is to determine the amount of lorazepam in milligrams that the nurse needs to administer, which is 1 mg. Step 2 is to calculate the volume of lorazepam oral solution needed to deliver this dose. This is done by dividing the required dose by the concentration of the solution. So, (1 mg ÷ 2 mg/mL) = 0.5 mL.

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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.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder.Which of the following instructions should the nurse include?.

Correct Answer is C

Explanation

A nurse is preparing to administer lorazepam 1 mg PO to an older adult client who has insomnia and who cannot swallow oral tablets. Available is lorazepam oral solution 2 mg/mL. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.

Correct Answer is ["0.5 mL."]

Explanation

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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.).