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When the nurse assesses an infiltration at a peripheral IV site,the nurse should: (Place these options in the correct sequence.) A) Elevate the arm. B) Apply warm compresses to the area. C) Restart the infusion. D) Stop the infusion. E) Notify the charge nurse.

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D,C,A,B,E
The infusion must be stopped t...

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An older adult patient is assessed by the nurse as showing signs of fluid volume excess,which are:


A) Redness, warmth, and drainage of fluid at the IV site
B) Redness, warmth, and tenderness at the IV site
C) Complaints of shortness of breath and pounding pulse
D) Puffiness of face, dyspnea, and pain at the IV site

E) A) and B)
F) All of the above

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When removing a central catheter,the nurse should instruct the patient to:


A) Lean forward and cough.
B) Take a deep breath and bear down.
C) Breathe deeply through the mouth.
D) Lie on the right side.

E) B) and D)
F) All of the above

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The nurse explains to the patient that,in the event of an accidental needle stick,the nurse should adhere to hospital policy,the usual directives of which are:


A) Antibiotics are taken if infection is present.
B) Blood is drawn from both the nurse and the patient.
C) Repeat blood draws are performed 4 weeks after the stick.
D) Obtain the physician's permission to return to work.
E) An incident report is initiated.

F) B) and D)
G) A) and B)

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The nurse explains that a major advantage of IV therapy is that drugs administered via the IV route:


A) Can better be maintained at a therapeutic blood level
B) Is less expensive than oral route
C) Is safer than administering by oral or intramuscular (IM) route
D) Has a lower incidence of allergy than other routes

E) None of the above
F) A) and C)

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As part of a written standard protocol for the unit,the nurse adds that irrigation of an occluded cannula is not recommended.The rationale against performing this procedure is that it may:


A) Damage a venous valve
B) Introduce an air embolus into the line
C) Cause the patient pain
D) Force blood clots into the main bloodstream

E) B) and D)
F) A) and C)

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The nurse transcribing orders should clarify the order of:


A) Potassium chloride, 80 mEq in 1000 ml D5W in 24 hours
B) Potassium chloride, 40 mEq IV in 10 ml D5W IV push
C) Potassium chloride, 50 mEq in 500 ml D5W in 4 hours
D) Potassium chloride, 80 mEq in 1000 ml D5W in 12 hours

E) None of the above
F) C) and D)

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The nurse explains that caloric sources in IVs come from:


A) Electrolytes
B) Dextrose
C) Vitamins
D) Water

E) A) and B)
F) B) and C)

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An IV administration of doxycyclin (Vibramycin) has extravagated.After stopping the IV,the nurse should:


A) Notify the physician, and restart the IV in another site.
B) Restart the IV at another site, and document the extravasation.
C) Flush NS through cannula at the insertion site.
D) Discard the IV tubing and the IV bag.

E) C) and D)
F) A) and B)

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