Answer to Question 1
ANS: B
Feedback
A Incorrect: This will worsen the pain regardless of the cause of the pain.
B Correct: If tension is the cause of the pain, gently moving the hub of the needle will decrease the pain. Always assess first.
C Incorrect: Many times, nursing assessment and interventions can eliminate the cause of the pain.
D Incorrect: Although appropriate, the nurse should assess for the cause of the pain and, if possible, eliminate the cause of the pain.
Answer to Question 2
ANS: D
Feedback
A Incorrect: The IV site and dressing should be changed. A new date needs to be placed on the dressing and the new IV tubing for the new infusion site.
B Incorrect: Although appropriate, this does not specifically address the information in the question that the client's IV was initiated three days (72 hours) ago.
C Incorrect: This is not within the nurse's scope of practice.
D Correct: The IV site and IV tubing should be changed every 48-72 hours to prevent complications.