An 87-year-old patient recovering from abdominal surgery has a continuous intravenous infusion to supply nutrients and antibiotics. What complication should you suspect when signs and symptoms of redness, warmth, and pain at the infusion site are reported?

Hematoma

Phlebitis

Speed Shock

Thrombosis

Answer and Explanation

The Correct Answer is B

A. Hematoma: A hematoma typically results from bleeding into the tissue, causing swelling and bruising at the infusion site, but it doesn't usually cause warmth or pain in the same way as phlebitis.

B. Phlebitis: Phlebitis is inflammation of the vein, commonly caused by an IV catheter or medication, and it often presents with redness, warmth, pain, and swelling at the infusion site. It is the most likely complication here.

C. Speed Shock: Speed shock occurs when a medication or fluid is administered too rapidly, causing symptoms such as dizziness, chest tightness, and hypotension, not localized symptoms like redness and pain at the infusion site.

D. Thrombosis: Thrombosis refers to the formation of a blood clot within a vein, which can cause swelling, warmth, and discomfort but would also likely involve more significant blockage and would be associated with reduced blood flow, not just localized redness and pain.

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Correct Answer is C

Explanation

. "Bradycardia is an early indicator of a pneumothorax.": Tachycardia, not bradycardia, is an early sign of pneumothorax.

B. "Administer a bronchodilator to the child after chest percussion therapy.": Bronchodilators are typically administered before chest physiotherapy to open airways and enhance mucus clearance.

C. "Engage the child in daily aerobic exercise.": Exercise promotes lung function, airway clearance, and overall physical health in children with cystic fibrosis.

D. "A pigeon-shaped chest might become evident as the disease progresses.": This is incorrect; barrel chest deformities, not pigeon chest, are associated with cystic fibrosis.

A. Sodium level 140 mEq/L (136-145 mEq/L) B. Magnesium level 1.0 mEq/L (1.3-2.1 mEq/L) C. Calcium level 10 mg/dL (9-10.5 mg/dL) D. Potassium level 3.5 mEq/L (3.5-5 mEq/L)

Correct Answer is B

Explanation

A. Sodium level 140 mEq/L (136-145 mEq/L): This sodium level is within the normal range and is not of concern.

B. Magnesium level 1.0 mEq/L (1.3-2.1 mEq/L): This value is below the normal range, indicating hypomagnesemia, which can cause serious complications such as arrhythmias, neuromuscular irritability, and seizures. This is the most concerning value.

C. Calcium level 10 mg/dL (9-10.5 mg/dL): This calcium level is within the normal range and is not concerning.

D. Potassium level 3.5 mEq/L (3.5-5 mEq/L): This potassium level is at the low end of normal. While it is something to monitor, it is not immediately concerning compared to hypomagnesemia.

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An 87-year-old patient recovering from abdominal surgery has a continuous intravenous infusion to supply nutrients and antibiotics. What complication should you suspect when signs and symptoms of redness, warmth, and pain at the infusion site are reported?

Nursing Test Bank

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A nurse is reinforcing teaching with the parents of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make?

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Explanation

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Correct Answer is B

Explanation

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