Author Question: A client with dehydration is being administered IV fluids. During rounds, the nurse noticed that the ... (Read 78 times)

ap345 · **on:** Jul 22, 2018

A client with dehydration is being administered IV fluids. During rounds, the nurse noticed that the skin immediately surrounding the client's IV site was reddish in color and showing signs of inflammation.

The nurse recognizes that what phenomenon is likely responsible? A) Phlebitis
B) Thrombus formation
C) Pulmonary embolus
D) Air embolism

Question 2

To accurately assess the client's response to a diagnostic procedure, which of these actions should the nurse take?

a. Determine the client's perception of how well the procedure was tolerated.
b. Await the results of the test performed.
c. Compare vital signs taken during and after the procedure, with baseline vital signs taken prior to the test.
d. Read the health care provider's progress note.

bob · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
The nurse should record that the client has phlebitis, which is an inflammation of the vein. Thrombus formation is a situation in which there is stationary blood clot. Pulmonary embolus is a situation in which the blood clot travels to the lung. Air embolism is a bubble of air traveling within the vascular system.

Answer to Question 2

C
Care of the client during diagnostic testing is specific to each procedure but usually involves preparing the procedure room, obtaining necessary supplies, and testing the equipment before the procedure to ensure that it is functional. Standard Precautions are used when exposure to body fluids may occur during the procedure. Any specimens obtained must be correctly labeled and, if necessary, promptly sent to the laboratory. The nurse's ongoing assessment during the procedure is critical to ensure that the client experiences no untoward responses to the procedure.