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The Nurse Notes an Edematous Area Around the Insertion Site

question 20

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The nurse notes an edematous area around the insertion site of an IV that is cool to the touch and the skin of which appears blanched. Based on these assessment findings, what is the first priority of the nurse?


Definitions:

Objective Evidence

Information that can be verified through empirical data, observation, measurement, and other forms of data that are not influenced by personal feelings or opinions.

Ledger

A comprehensive collection of a company's financial accounts, where transactions are recorded using a double-entry bookkeeping system.

Accrual Basis Accounting

An accounting method where revenues and expenses are recorded when earned or incurred, regardless of when the cash transactions occur.

Statement of Retained Earnings

A financial statement that shows the changes in a company's retained earnings over a specific period.

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