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 A
Explanation
Choice A rationale:
Dantrolene is a muscle relaxant used for relief of cramping, spasms, and tightness of muscles caused by multiple sclerosis. So, it should be taken regularly, not just when spasms are bad.
Choice B rationale:
While it’s important to communicate with the healthcare provider about the effectiveness of the medication, three months is a long time to wait without relief. The timeline should be discussed with the healthcare provider.
Choice C rationale:
The safety of dantrolene during pregnancy is not explicitly stated in the sources. It’s crucial to consult with a healthcare provider about this.
Choice D rationale:
There’s no specific mention of needing to check calcium levels while on dantrolene. Regular follow-ups for overall health monitoring are necessary, but this statement is not directly related to dantrolene use.
So, the correct answer is A.
Correct Answer is ["0.5"]
Explanation
Step 1 is to determine the amount of lorazepam that needs to be administered, which is 1 mg.
Step 2 is to calculate the volume of lorazepam oral solution needed to deliver this dose. This is done using the formula:
Dose (mg) ÷ Concentration (mg/mL)
Given that the solution has a concentration of 2 mg/mL, we calculate:
1 mg ÷ 2 mg/mL = 0.5 mL
Therefore, the nurse should administer 0.5 mL of lorazepam oral solution.
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