REx-PN Study Guide Questions & Answer, 100% Correct | Grade A+

The nurse notes blanching, coolness, and edema at the peripheral intravenous (IV) site. On the basis of these findings, the nurse should implement which action? a. Remove the IV b. Apply a warm compress c. Check for a blood return d. Measure the area of infiltration : Answer: a Determine if pt is experiencing infiltration. Next, consider the harmful effects of infiltration & determine which action to implement. Because infiltration can be damaging to the surrounding tissue, the appropriate action is to remove the IV to prevent further damage. The nurse has received the client assignment for the day. Which client should the nurse assess first? a. The client who needs to receive subcutaneous insulin before breakfast b. the client who has a nasogastric tube attached to intermittent suction c. the client who is 2 days postop and is complaining of incisional pain d. the client who has a blood glucose level of 50mg/dL (2.8 mmol/L) and complains of blurred vision : Answer: d First establish priorities by comparing each client and deciding which is more urgent. The client described in the correct option has a blood glucose level and symptoms reflective of hypoglycemia. This client should be assessed first so that treatment can be implemented. The nurse is choosing age-appropriate toys for a toddler. Which toy is the BEST choice for this age? a. Puzzle b. Toy soldiers c. Large stacking blocks d. A card game with large picture