While changing the dressing on a client's central line, the nurse notices redness and warmth at the needle insertion site. Which of the following actions would be appropriate to implement based on this finding?

• A.Discontinue the central line.
• B.Begin a peripheral IV.
• C.Document in the nurse's notes and notify the physician after redressing the site.
• D.Clean the site well and redress.

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A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:

• A.The test is inconclusive and should be repeated
• B.Further testing is needed
• C.The test is normal and the fetus is reacting appropriately
• D.The fetus is distressed

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The initial treatment for a client with a liquid chemical burn injury is to:

• A.Irrigate the area with neutralizing solutions
• B.Flush the exposed area with large amounts of water
• C.Inject calcium chloride into the burned area
• D.Apply lanolin ointment to the area

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Following her surgery, a 5-year-old child will return to the pediatric unit with a long-arm cast. She experienced a supracondylar fracture of the humerus near the elbow. Which nursing action is most essential during the first
24 hours after surgery and cast application?

• A.Mobilization of the child
• B.Discharge teaching
• C.Pain management
• D.Assessment of neurovascular status

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In the client with a diagnosis of coronary artery disease, the nurse would anticipate the complication of bradycardia with occlusion of which coronary artery?

• A.Right coronary artery
• B.Left main coronary artery
• C.Circumflex coronary artery
• D.Left anterior descending coronary artery

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