The nurse is performing a routine assessment of an IV site for a client receiving both IV fluids and medications through the line. The client reports tenderness when the nurse touches the arm above the site. Which finding should the nurse expect which will require immediate intervention?

A sluggish blood return

Cool sensation above the site

Iced streak tracking the vein

Circumferential skin irritation

Answer and Explanation

The Correct Answer is C

A. A sluggish blood return: While a sluggish blood return may indicate potential issues with the IV line, it does not require immediate intervention unless accompanied by other signs of
complications.
B. Cool sensation above the site: Cool sensation above the site may indicate impaired circulation, but it is not as concerning as other findings requiring immediate intervention.
C. Iced streak tracking the vein: Correct! An iced streak tracking the vein suggests infiltration of IV fluids into the surrounding tissue, which can cause tissue damage and compromise the
effectiveness of the IV therapy. Immediate intervention is needed to prevent further complications.
D. Circumferential skin irritation: Circumferential skin irritation may indicate an allergic reaction or contact dermatitis, which requires attention but is not as urgent as an infiltration.

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Correct Answer is D

Explanation

A. Increasing oral fluid intake is not a recommended treatment for skin flushing caused by tadalafil. Skin flushing is a common side effect and usually resolves on its own without the need for increased fluid intake.

B. Advising the client to take nitroglycerin is inappropriate and potentially dangerous. Tadalafil and nitroglycerin both lower blood pressure, and their combined use can lead to a significant drop in blood pressure, which can be life-threatening.

C. Telling the client to go to the emergency department is unnecessary in this case. Skin flushing is a known side effect of tadalafil and does not typically require emergency medical attention unless accompanied by other severe symptoms.

D. Reassuring the client that skin flushing is a common side effect of tadalafil is appropriate. This side effect is generally mild and temporary, and the client should be informed that it is not a cause for concern.

Correct Answer is ["0.2"]

Explanation

750mcg=2.4ml 60mcg=602.4/750

=0.192ml

Rounded off to the nearest tenth= 0.2ml

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The nurse is performing a routine assessment of an IV site for a client receiving both IV fluids and medications through the line. The client reports tenderness when the nurse touches the arm above the site. Which finding should the nurse expect which will require immediate intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

Correct Answer is D

Explanation

The nurse is preparing a dose of teriparatide for a patient. The medication is labeled as “750 mcg/2.4 mL”. How many mL should the nurse administer to deliver a dose of 60 mcg. (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["0.2"]

Explanation

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