Hematopoietic

While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen, and painful and that the surrounding tissues are hard. Which of the following actions should the nurse take first?

Discontinue the existing IV line The greatest risk to the client is injury from the IV infiltration damaging soft tissues surrounding the catheter.

A nurse is assessing a client who is receiving a parental lipid infusion. Which of the following findings is a manifestation of fat overload syndrome?

Elevated temperature It is an early manifestation. The client is at risk for coagulopathy and multi-organ system failsure due to fat overloading syndrome

A nurse is caring for a client who is postoperative following hip arthroplasty. The nurse should anticipate which of the following prescriptions?

Enoxaparin Clients following hip arthroplasty are usually on anticoagulants for 3 to 6 weeks after surgery

A nurse is preparing to administer heparin to a client. Which action should the nurse plan to take?

Inject the medication into the abdomen above the level of the iliac crest At least two inches from the umbilicus

A nurse is preparing to administer bisacodyl suppository to a client. What actions should the nurse take?

Lubricate index finger the rounded end of the suppository is lubricated with a sterile water-soluble lubricating jelly Insert suppository just beyond internal sphincter The nurse should gently retract buttocks with the non dominant hand. Insert the suppository gently through the anus, past the internal sphincter, and against the rectal wall. Following administration of the medication, the nurse should apply gentle pressure to hold the buttocks together momentarily if needed to keep the medication in place

A nurse is planning care for a client who has detached retina and is preoperative for surgical repair. The nurse should prepare to administer what medication?

Phenylephrine Mydriatic medications are used preoperatively to dilate pupils to facilitate intraocular surgery

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective

Reduced dyspepsia A proton pump inhibitor, reduced gastric acid secretion and treats duodenal and gastric ulcers, prolonged dyspepsia, gastrointestinal reflux disease and erosive esophagitis

A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect?

Relief of gastrointestinal pain Prescribed for acute or maintenance therapy of duodenal ulcers. Promotes ulcer healing

A nurse is taking a health history of a client who reports occasionally taking several OTC medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic?

Relief of heartburn It is used to treat duodenal ulcers and prevent their return. In OTC strengths, these meds such as cimetidine and ranitidine, and used to relieve or prevent heartburn, acid indigestion and sour stomach

A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching?

Take the ferrous sulfate between meals It is for optimal absorption

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks how the medication will relieve her nausea.

The medication relieves nausea by promoting gastric emptying Reglan is gastrointestinal stimulant used to relieve N/V, heartburn, stomach pain, bloating and persistent feeling of fullness after meals. Promotes gastric emptying.

A nurse is providing instructions about bowel cleansing with polyethylene glyco-electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include?

Abdominal bloating may occur Adverse effects include: nausea, bloating, abdominal discomfort