Before administering an IV antibiotic, the nurse observes that the skin above the client's IV site is cool, swollen, and painful to touch. Which action should the nurse implement first?

Apply heat to the infiltrated site.

Document a delay in the administration of the antibiotic.

Start a new IV at a different site to administer the antibiotic.

Remove the infiltrated IV catheter.

Answer and Explanation

The Correct Answer is D

A. Applying heat may be indicated later, but the first action should be to address the infiltration.

B. Documenting the delay is important but not the immediate priority.

C. Starting a new IV site is necessary for continued medication administration but should be done after addressing the infiltration.

D. Removing the infiltrated IV catheter is the first priority to prevent further tissue damage and start appropriate treatment for infiltration.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["21"]

Explanation

To calculate the flow rate in gtt/min, you can use the formula: (Volume in mL * Drop factor) / Time in minutes.

For 1 L of lactated Ringer's IV, which is 1000 mL, to be infused over 12 hours (720 minutes), with a drop factor of 15 gtt/mL, the calculation would be: (1000 mL * 15 gtt/mL) / 720 minutes = 15000 gtt / 720 minutes ≈ 20.83 gtt/min.

Therefore, the nurse should regulate the infusion to approximately 21 gtt/min.

A. Urinate every 4 to 6 hours or when you first feel the urge. B. Decrease fluid intake to lessen the severity of symptoms. C. Limit your intake of alcohol and caffeine. D. Refrain from exercise because it can lead to incontinent episodes. E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine. F. Schedule yearly prostate-specific antigen blood test.

Correct Answer is ["A","C","E"]

Explanation

A. Urinate every 4 to 6 hours or when you first feel the urge: Regular urination helps prevent bladder overdistention and can reduce the risk of urinary retention and incontinence episodes.

B. Decrease fluid intake to lessen the severity of symptoms: While it might seem logical to reduce fluid intake to decrease urinary frequency, it is essential to maintain adequate hydration. Instead, fluid intake should be managed appropriately, avoiding large volumes at one time, particularly in the evening.

C. Limit your intake of alcohol and caffeine: Alcohol and caffeine can irritate the bladder and increase urinary frequency and urgency, exacerbating BPH symptoms.

D. Refrain from exercise because it can lead to incontinent episodes: Exercise is beneficial for overall health and can help manage weight, which is important for BPH management. Clients should be encouraged to exercise regularly.

E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine: These medications can constrict the urethra, worsening urinary retention and other BPH symptoms.

F. Schedule yearly prostate-specific antigen blood test: While monitoring PSA levels can be part of managing prostate health, it is not specific to daily living with symptomatic BPH and thus not one of the top three areas of education in this context.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Before administering an IV antibiotic, the nurse observes that the skin above the client's IV site is cool, swollen, and painful to touch. Which action should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for 1 L of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Correct Answer is ["21"]

Explanation

Exhibits The nurse educates the client about living with benign prostate hyperplasia (BPH). Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.

Correct Answer is ["A","C","E"]

Explanation

A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription is most important for the nurse to implement?

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent? Select all that apply.

The nurse is preparing a class about osteoporosis prevention. Which meal should the nurse recommend to the class?

A client with deep vein thrombosis (DVT) is receiving a continuous intravenous heparin infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? Select all that apply.

Patient Data Exhibits The nurse suspects elder mistreatment. Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

A client tells the nurse about beginning an exercise program a month ago to lose weight and improve sleep. The client states, "It still takes at least two hours to fall asleep at night." Which action should the nurse implement?