Select all that apply Removing the IV catheter at that site Correct Applying

Select all that apply removing the iv catheter at

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Select all that apply. Removing the IV catheter at that site Correct Applying warm, moist compresses to the IV site Correct Notifying the healthcare provider about the finding Correct
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Encouraging the client to scrub the site while in the shower Starting a new IV line in a proximal portion of the same vein Rationale: The nurse should remove the IV from the phlebitic site and apply warm, moist compresses to the area to speed resolution of the inflammation. The nurse also notifies the physician of this complication. The nurse should restart the IV line in a vein other than the one in which phlebitis has developed. The nurse should discourage the client from rubbing the site while in the shower, because this could cause sloughing of the tissue. Test-Taking Strategy: Focus on the client’s problem. Think about the pathophysiology of phlebitis to find the correct interventions. Review nursing interventions for phlebitis if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Nursing Process/Implementation Content Area: Intravenous Therapy Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., p. 227). St. Louis: Saunders. Awarded 0.0 points out of 1.0 possible points. 65.ID: 383697115 A physician prescribes 2000 mL of 5% dextrose and normal saline 0.45% for infusion over 24 hours. The drop factor is 15 gtt/mL. At how many drops per minute does the nurse set the flow rate? (Round to the nearest whole number). Incorrect Correct Responses: "21" <i>Rationale:</i> Use the IV flow rate formula:<sub></SUB><i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><br><IMG 12
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src="/objects/NCLEX/silvestri1e_v1/mod_08/images/exam/M08Q007E01.gif" border=0><!-- RspH:I --><sub></SUB><i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><br><IMG src="/objects/NCLEX/silvestri1e_v1/mod_08/images/exam/M08Q007E02.gif" border=0><!-- RspH:I --><i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><sub></SUB><i></i><i></i><i></i><i></i> <i></i><i></i><i></i><br><i></i><sub></SUB><i>Test-Taking Strategy:</i> Use the formula for calculating IV flow rates when answering the question. Remember to convert 24 hours to minutes and to round the answer to the nearest whole number. Review IV infusion rates if you had difficulty with this question.<i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><sub></SUB><i></i><i></i><i></i><i></i> <i></i><i></i><i></i><br><i></i><sub></SUB><i></i><i>Level of Cognitive Ability:</i> Applying<i></i><i></i><i></i><i></i><i></i><br><i></i><sub></SUB><i></i><i></i><i></i><i></i><i></i> <i></i><i></i><br><i></i><sub></SUB><i></i><i></i><i>Client Needs:</i> Physiological Integrity<i></i><i></i><i></i><i></i><br><i></i><sub></SUB><i></i><i></i><i></i><i></i><i></i><i></i>< i></i><br><i></i><sub></SUB><i></i><i></i><i></i><i>Integrated Process:</i> Nursing Process/Implementation<i></i><i></i><i></i><br><i></i><sub></SUB><i></i><i></i><i></i><i></i><i></i ><i></i><i></i><br><i></i><sub></SUB><i></i><i></i><i></i><i></i><i>Content Area:</i> Intravenous Therapy<i></i><i></i><br><i></i><sub></SUB><i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i> </i><sub></SUB><i></i><i></i><i></i><i></i><i></i><i>Reference:</i> Potter, P., & Perry, A. (2009).
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