Author Question: A patient has IV therapy for the administration of antibiotics and is stating that the IV site hurts ... (Read 19 times)

karlynnae · **on:** Jul 22, 2018

A patient has IV therapy for the administration of antibiotics and is stating that the IV site hurts and is swollen.

Which one of the following items of information assessed on the patient indicates the presence of phlebitis, as opposed to infiltration? a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature

Question 2

To provide successful nutritional therapies to patients, the nurse must understand that

a. Patients will have to change diet preferences drastically to be successful.
b. The patient will tell the nurse when to change the plan of care.
c. Expectations of nurses frequently differ from those of the patient.
d. Nurses should never alter the plan of care regardless of outcome.

Gabe · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B

Feedback
A The intensity of pain is not a differentiating factor between phlebitis and infiltration. Pain can occur with both.
B Signs of phlebitis may include increased temperature over the vein, erythema, pain, and edema. With phlebitis, the area is warm to the touch; with infiltration, the area is cool to the touch.
C The amount of subcutaneous edema is not a differentiating factor between phlebitis and infiltration. Edema can occur with both.
D Skin discoloration of a bruised nature is not the best way to differentiate phlebitis from infiltration. With phlebitis, the area is typically reddened. With infiltration, the area is typically pale.

Answer to Question 2

C
Expectations and health care values held by nurses frequently differ from those held by patients. Successful interventions and outcomes depend on recognition of this concept, in addition to nursing knowledge and skill. If ongoing nutritional therapies are not resulting in successful outcomes, patients expect nurses to recognize this fact and alter the plan of care accordingly. Working closely with patients enables the nurse to redefine expectations that are realistically met within the limits of conditions and treatments and to identify their dietary preferences and cultural beliefs.