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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Adding pecans will be a change I can readily make.": Pecans are not a significant source of potassium compared to other foods.
B. "I will eat cantaloupe for my morning snack.": Cantaloupe is a potassium-rich food and an excellent choice to increase dietary potassium.
C. "I will miss eating yogurt every day for breakfast.": Yogurt is a good potassium source, so discontinuing it would not help.
D. "I can plan to eat rice instead of baked potatoes.": Rice is low in potassium, whereas baked potatoes are a potassium-rich option.
Correct Answer is A
Explanation
A. Potassium 2.5 mEq/L: This critically low potassium level can cause life-threatening cardiac dysrhythmias and requires immediate intervention.
B. Urine specific gravity 1.035: While indicative of dehydration, it is not life-threatening and can be addressed after correcting the potassium imbalance.
C. Weight loss of 3% of total body weight: Significant but not the most critical concern in the immediate term.
D. Blood glucose 150 mg/dL: Elevated but not urgent compared to the hypokalemia.
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