Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?.
A. "There's blood backing up my baby's IV tubing.”.
Blood backing up in the IV tubing indicates a problem with the IV line, not necessarily infiltration.
B. "There's a long red streak up my baby's arm.”.
A long red streak up the arm could indicate phlebitis, not infiltration.
C. "The tape is coming off the IV needle.”.
Loose tape could cause the IV needle to dislodge, but it doesn’t directly indicate infiltration.
D. "My baby's fingers are looking swollen.”. .
Swelling around the IV site is a common sign of infiltration. So, the correct answer is D. “My baby’s fingers are looking swollen.”.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Pharmacology Cohert 6 Mid term Remidiation Cloned Assessment 1 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Blood backing up in the IV tubing indicates a problem with the IV line, not necessarily infiltration.
Choice B rationale:
A long red streak up the arm could indicate phlebitis, not infiltration.
Choice C rationale:
Loose tape could cause the IV needle to dislodge, but it doesn’t directly indicate infiltration.
Choice D rationale:
Swelling around the IV site is a common sign of infiltration.
So, the correct answer is D. “My baby’s fingers are looking swollen.”.
Similar Questions
nurse is preparing to administer hydroxyzine HCL 50 mg PO. Available is hydroxyzine oral suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number.
Use a leading zero if it applies.
Do not use a trailing zero
Full Explanation
Step 1 is to calculate the amount of hydroxyzine HCL in each mL of the oral suspension. This is done by dividing the total amount of hydroxyzine HCL (25 mg) by the total volume (5 mL), which gives us 5 mg/mL. Step 2 is to calculate the volume of oral suspension that contains 50 mg of hydroxyzine HCL. This is done by dividing the prescribed dose (50 mg) by the concentration of the oral suspension (5 mg/mL). So, 50 mg ÷ 5 mg/mL = 10 mL.
So, the correct answer is 10 mL.
Step 1 is to calculate the amount of hydroxyzine HCL in each mL of the oral suspension. This is done by dividing the total amount of hydroxyzine HCL (25 mg) by the total volume (5 mL), which gives us 5 mg/mL. Step 2 is to calculate the volume of oral suspension that contains 50 mg of hydroxyzine HCL. This is done by dividing the prescribed dose (50 mg) by the concentration of the oral suspension (5 mg/mL). So, 50 mg ÷ 5 mg/mL = 10 mL.
So, the correct answer is 10 mL.
Full Explanation
Step 1 is to calculate the number of tablets needed to administer 225 mg of desipramine. This is done by dividing the prescribed dose (225 mg) by the strength of each tablet (75 mg). So, 225 mg ÷ 75 mg/tablet = 3 tablets.
So, the correct answer is 3 tablets.
A nurse is preparing to administer haloperidol lactate 7 mg PO to a client who has psychosis.
Available is haloperidol lactate 2 mg/mL oral solution.
How many mL should the nurse plan to administer? (Round to the nearest tenth.
Use a leading zero if it applies.
Full Explanation
Answer and explanation
Step 1 is to calculate the volume of haloperidol lactate oral solution that contains 7 mg of haloperidol lactate. This is done by dividing the prescribed dose (7 mg) by the concentration of the oral solution (2 mg/mL). So, 7 mg ÷ 2 mg/mL = 3.5 mL.
So, the correct answer is 3.5 mL.