Nurs 6512 Advanced Health Assessment Midterm Exam 2023 - Walden University

How often do you perform trach care? {Ans: Every 8 hours}What are some IV complications? {Ans: Infiltration Infection Phlebitis Thrombus Speed shock Fluid Overload Air embolus}What is the name for the chest tube placement procedure? {Ans: Thoracostomy}Blood transfusion reactions: Circulatory overload (s/s) {Ans: dyspnea, dry cough, pulmonary edema}A nurse on the IV team is making rounds to assess patients receiving IV therapy. Under which circumstance will the nurse recommend an IV catheter be discontinued? A. The area surrounding the catheter is bruised B. The patient's extremity is cool to the touch C. The site is red, warm, and swollen D. Part of the catheter (1 mm) is visible under the dressing {Ans: C- The site is red, warm, and swollen. (this may indicate phlebitis) Rationale for other answers: A bruised area surrounding the insertion site is likely associated with the initial insertion and can be monitored. A patient with a cool extremity may be chilly or hypothermic; the nurse would assess the IV site directly to rule out infiltration. Having 1 mm of the catheter visible from the insertion site that is covered with an occlusive, transparent dressing does not require immediate action}What are chlorhexidine