Anatomy & Physiology I/II · practice question

A 73-year-old client on a telemetry unit is being evaluated for nursing care related to neurologic control and level of consciousness. Assessment data include the client develops redness and warmth at an IV insertion site. Which finding requires the nurse to intervene immediately?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026anatomy-physiology

The new finding that the client develops redness and warmth at an IV insertion site.A comfort request with unchanged vital signs and no new symptoms.A stable, long-standing finding that matches the expected care plan.Routine data unchanged from the prior assessment.

Answer and explanation

Correct answer

A. The new finding that the client develops redness and warmth at an IV insertion site.

Why

Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

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A 73-year-old client on a telemetry unit is being evaluated for nursing care related to neurologic control and level of consciousness. Assessment data include the client develops redness and warmth at an IV insertion site. Which finding requires the nurse to intervene immediately?

Correct answer

Why

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