ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client's peripheral IV during hourly rounding. The nurse notices the site has erythema, warmth, edema, and a red line traveling up the vessel. Which complication would the nurse identify this client has?
Correct Answer: A
Rationale: The correct answer is A: Thrombophlebitis. Thrombophlebitis is characterized by inflammation of the vein with symptoms such as erythema, warmth, edema, and a red line traveling up the vessel. The red line indicates the presence of a blood clot, causing the vein to become inflamed. Infiltration (
B) is the leakage of IV fluids into surrounding tissues, presenting with swelling and pallor. Infection (
C) would show signs of localized redness, pain, and possibly purulent drainage. Extravasation (
D) is the leakage of vesicant medications causing tissue damage, not inflammation of the vein.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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