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 ["3"]
Explanation
Step 1: Identify Given Information
- Prescribed dose: 7.5 mg
- Available tablet strength: 2.5 mg per tablet
Step 2: Calculate the Number of Tablets
To determine how many tablets to administer, divide the prescribed dose by the strength of each tablet:
7.5 mg ÷ 2.5 mg/tablet = 3 tablets
The nurse should administer 3 tablets of olanzapine.
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.
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