A physician tells Nurse Corazon that the client’s intravenous line will be discontinued. She should obtain which of the following supplies from the unit supply area for use in applying pressure to the IV site after removing the intravenous (IV) catheter?

Correct Answer: A

Rationale: The correct answer is A: Sterile gauze. After removing the IV catheter, pressure needs to be applied to the IV site to prevent bleeding and promote clotting. Sterile gauze is the best choice as it is clean, non-adhesive, and allows for gentle pressure without sticking to the wound. Adhesive bandage (B) is not ideal as it may be too small to apply adequate pressure. Betadine swab (C) is used for skin antisepsis before procedures, not for applying pressure. Alcohol swab (D) is used for cleaning, not for applying pressure.

Correct Answer: B

Rationale: The correct answer is B: Documenting drugs given. This is crucial in drug therapy implementation to ensure accurate record-keeping, monitoring for adverse effects, and tracking treatment effectiveness. Documentation helps prevent medication errors and facilitates communication among healthcare providers. Developing a content outline (A) is more related to planning rather than implementation. Establishing outcome criteria (C) and setting client goals (D) are important steps in the planning phase to determine treatment goals but are not specific to the implementation phase, making them incorrect choices.

Correct Answer: A

Rationale: The correct answer is A because the normal angle between the nail and nail bed is around 160 degrees. This indicates a healthy nail growth. Choice B is incorrect as nails should lie flat against the nail bed. Choice C suggests nail abnormalities, not normal findings. Choice D indicates a lack of oxygen or circulation, not a normal finding.

Correct Answer: B

Rationale: The correct answer is B: Apical. The apical pulse site, located at the apex of the heart, is the most accurate for infants due to their small size and rapid heart rate. It is accessed by placing the stethoscope at the left fifth intercostal space midclavicular line. The radial pulse (A) is commonly used for adults, not infants. The brachial pulse (C) is typically used for blood pressure measurements in infants. The carotid pulse (D) is not recommended for routine assessment in infants due to potential risk of injury. In summary, the apical pulse site is preferred for infants due to its accuracy and ease of access compared to the other choices.

Correct Answer: B

Rationale: The correct answer is B because oozing liquid stool is a common sign of fecal impaction in a paralyzed client. Due to decreased muscle tone and mobility, the client may have difficulty passing formed stool, leading to leakage of liquid stool around the impaction. Presence of blood in stools (A) may indicate other gastrointestinal issues. Continuous flatulence (C) is common with impaction but not specific. Absence of bowel movements (D) can be a sign of impaction but is not as reliable as oozing liquid stool.