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6 Cards in this Set
- Front
- Back
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In an assessment of a patient who has been receiving IV fluids for the last 6 hours, the nurse finds that the pulse is now bounding, the blood pressure is more than 15 mm Hg higher than the last reading, and there is pedal edema. The nurse evaluates these signs are associated with:
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Vascular fluid volume excess.
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As part of a written standard protocol for the unit, the nurse adds that irrigation of an occluded cannula is not recommended. The rationale against performing this procedure is that it may:
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..force blood clots into the main bloodstream.
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The nurse is assisting to prepare a nursing care plan for a patient with continuous IVs. The goal of IV therapy is to:
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..promote and maintain fluid and electrolyte balance.
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In making out the assignment for the evening shift, the LPN charge nurse is careful to assign IV rounds to be performed:
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...every 60 minutes.
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The nurse is checking IV sites carefully for signs of infiltration, which are:
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...burning sensation, pain, and puffy site.
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The nurse assesses an area where an IV had been changed recently. The area has redness, swelling, and warmth, which are characteristics of:
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..inflammation and possible phlebitis.
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