100%(15)15 out of 15 people found this document helpful
This preview shows page 72 - 75 out of 78 pages.
Review client teaching points for this medication if you had difficulty with this question.
Level of Cognitive Ability:EvaluatingClient Needs:Physiological Integrity Integrated Process:Teaching and LearningContent Area:PharmacologyReference:Lehne, R. (2010). Pharmacology for nursing care(7th ed., pp. 447, 453). St. Louis: Saunders.Awarded 1.0 points out of 1.0 possible points.AO.94.ID: 383694362A nurse notes that the site of a client’s peripheral IV catheter is reddened, warm, painful, and slightly edematous in the area of the insertion site. After taking appropriate steps to care for the client, the nurse documents in the medical record that the client has experienced:
A.Phlebitis of the vein CorrectB.Infiltration of the IV lineC.Hypersensitivity to the IV solutionD.An allergic reaction to the IV catheter materialRationale:Phlebitis at an IV site can be identified by client discomfort at the site, as well as by redness, warmth, and swelling in the area of the catheter. The IV should be removed and a new one inserted at a different site. The remaining options are incorrect. Coolness and swelling would be noted if infiltration had occurred. The symptoms of hypersensitivity and allergic reaction depend on whether these complications are local or systemic.Test-Taking Strategy:Use the process of elimination. Remember that options that are comparable or alike (here, hypersensitivity and allergic reaction) are not likely to be correct. Choose phlebitis of the vein over infiltration of the IV line after recalling that warmth is noted at an IV site in which phlebitis has developed. Coolness would be noted if infiltration had occurred. Review the signs of phlebitis ifyou had difficulty with this question.Level of Cognitive Ability:ApplyingClient Needs:Physiological IntegrityIntegrated Process:Communication and DocumentationContent Area:Intravenous Therapy
Reference:Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., p. 227). St. Louis: Saunders.Awarded 1.0 points out of 1.0 possible points.AP.95.ID: 383695616Betaxolol (Betoptic) eye drops have been prescribed for the treatment of a client’s glaucoma. The nurse tells the client to return to the clinic: