Physiological IntegrityCâu 77 / 120
The LPN/LVN is caring for a client with a peripheral IV. The site is red, warm, and tender. What is the priority action?
a.Stop the infusion and remove the IV catheter
b.Increase the infusion rate to flush the vein
c.Apply a warm compress and continue the infusion
d.Document and reassess at the end of the shift
Giải thích
Redness, warmth, and tenderness indicate phlebitis; the infusion should be stopped and the catheter removed to prevent complications. Increasing the rate or continuing infusion worsens the problem. The site is then restarted elsewhere as needed.
Luyện miễn phí toàn bộ 120 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- A client with cirrhosis has ascites. Which position best promotes comfort and breathing?
- The LPN/LVN reviews intake and output for a client with an indwelling catheter. Urine output has been less than 30 mL/hour for several hours. What should the nurse do?
- A client recovering from a stroke has difficulty swallowing. Which intervention best reduces the risk of aspiration during meals?
- A client with pneumonia has an oxygen saturation of 88% on room air. Which action should the LPN/LVN take first?
- The LPN/LVN is monitoring a client after a thyroidectomy. Which finding requires immediate attention?
- A client with a fractured femur suddenly develops shortness of breath, chest pain, and confusion. What complication should the nurse suspect?
Cập nhật gần nhất: · quy trình kiểm tra
Đội Ngũ Biên Tập PrepPass · Đối chiếu với NCLEX-PN (Licensed Practical/Vocational Nurse Licensure Exam) · Quy trình kiểm tra