Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse should report which of the following findings as manifestations of phlebitis? (Select all that apply.).
A. Blistering around the insertion site.
Blistering around the insertion site is not a common sign of phlebitis. It could indicate a more severe complication like extravasation or infiltration.
B. Streak formation along the vein.
Streak formation along the vein is a classic sign of phlebitis. It indicates inflammation and possible infection.
C. Erythema at the insertion site.
Erythema at the insertion site is another common sign of phlebitis. It indicates inflammation.
D. Warmth at insertion site.
Warmth at the insertion site is also a common sign of phlebitis. It is caused by increased blood flow to the area due to inflammation. So, the correct answers are B, C, and D.
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:
Blistering around the insertion site is not a common sign of phlebitis. It could indicate a more severe complication like extravasation or infiltration.
Choice B rationale:
Streak formation along the vein is a classic sign of phlebitis. It indicates inflammation and possible infection.
Choice C rationale:
Erythema at the insertion site is another common sign of phlebitis. It indicates inflammation.
Choice D rationale:
Warmth at the insertion site is also a common sign of phlebitis. It is caused by increased blood flow to the area due to inflammation. So, the correct answers are B, C, and D.
Similar Questions
A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number.
Use a leading zero if it applies.
Full Explanation
Step 1 is to calculate the rate of infusion. The formula is total volume ÷ total time. So, (750 mL ÷ 8 hr) = 93.75 mL/hr. Rounding to the nearest whole number gives 94 mL/hr.
So, the correct answer is 94 mL/hr.
A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL.
How many mL should the nurse administer?
(Round the answer to the nearest tenth/whole number. Use a leading zero if it applies.)
Full Explanation
Step 1 is to calculate the volume of medication to administer. The formula is desired dose ÷ available dose × available volume. So, (300 mg ÷ 250 mg) × 5 mL = 6 mL.
So, the correct answer is 6 mL.
A nurse is preparing to administer risperidone 5 mg PO.
Available is risperidone 2 mg tablets. How many tablets should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
Step 1 is to calculate the number of tablets to administer. The formula is desired dose ÷ dose per tablet. So, 5 mg ÷ 2 mg = 2.5 tablets.
So, the correct answer is 2.5 tablets.