A nurse is observing the IV catheter insertion site of a client who is receiving continuous IV therapy. Which of the following manifestations should the nurse identify as an indication that the client has developed phlebitis?

Coolness

Drainage

Pallor

Erythema

Answer and Explanation

The Correct Answer is D

A. Coolness at the IV insertion site is not a typical sign of phlebitis. Phlebitis often presents with warmth or increased heat around the vein due to inflammation.

B. Drainage at the IV site might indicate infection or other complications but is not a specific sign of phlebitis. Phlebitis primarily manifests as redness, tenderness, and swelling along the vein.

C. Pallor (pale coloration) at the IV site is not a typical sign of phlebitis. Phlebitis usually presents with redness or erythema due to inflammation.

D. Erythema (redness) at the IV catheter insertion site is a hallmark sign of phlebitis. It indicates inflammation of the vein where the catheter is placed and is a common early sign of phlebitis. Other signs include warmth, tenderness, and swelling along the vein.

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Correct Answer is ["0.5"]

Explanation

To administer lorazepam 1 mg PO to an older adult client who has insomnia and who cannot swallow oral tablets, the nurse should use the lorazepam oral solution 2 mg/mL.

The nurse should calculate the dose by using the formula: Dose (mL) = Desired dose (mg) / Available dose (mg/mL).

In this case, the desired dose is 1 mg and the available dose is 2 mg/mL.

Therefore, the dose (mL) = 1 mg / 2 mg/mL = 0.5 mL.

The nurse should plan to administer 0.5 mL of lorazepam oral solution to the client.

Correct Answer is ["2"]

Explanation

To calculate the number of tablets that the nurse should administer, the nurse needs to divide the prescribed dose by the available dose.

In this case, the prescribed dose is aspirin 650 mg PO and the available dose is aspirin 325 mg tablets.

Therefore, the nurse should divide 650 by 325, which gives 2.

Therefore, the nurse should administer 2 tablets of aspirin 325 mg PO.

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A nurse is observing the IV catheter insertion site of a client who is receiving continuous IV therapy. Which of the following manifestations should the nurse identify as an indication that the client has developed phlebitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.5"]

Explanation

A nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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