A client with a history of heart failure is receiving IV fluids. The nurse should closely monitor the client for which potential complication?

Infiltration

Phlebitis

Fluid overload

Air embolism

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because infiltration is not directly related to the client's history of heart failure.

B) This choice is incorrect because phlebitis is not specifically associated with heart failure but rather with irritants in the IV solution or mechanical trauma.

C) This choice is correct. Clients with a history of heart failure are at an increased risk of fluid overload due to their compromised cardiac function. Monitoring for signs of fluid overload, such as dyspnea, jugular vein distention, and peripheral edema, is essential during IV therapy.

D) This choice is incorrect because an air embolism is not directly related to the client's history of heart failure.

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Correct Answer is C

Explanation

A) This choice is incorrect because infiltration involves the inadvertent administration of IV fluid into the surrounding tissues, not redness, warmth, and tenderness around the insertion site.

B) This choice is incorrect because extravasation occurs when IV fluid or medication leaks into the surrounding tissues due to catheter puncture, but it does not present with redness and swelling.

C) This choice is correct. The client's symptoms of redness, warmth, swelling, tenderness, and pain around the insertion site are indicative of phlebitis, which is the inflammation of the vein caused by irritants in the IV solution or mechanical trauma from the catheter.

D) This choice is incorrect because an air embolism is not associated with symptoms of phlebitis, such as redness and swelling around the IV site.

A. Mix all the medications in one syringe for administration. B. Flush the IV line with a large amount of normal saline before administration. C. Consult with the pharmacist to verify medication compatibility. D. Increase the IV flow rate to hasten medication infusion.

Correct Answer is C

Explanation

A) This choice is incorrect because mixing all the medications in one syringe is not recommended, as it may lead to medication incompatibilities or chemical reactions between medications.

B) This choice is incorrect because flushing the IV line with a large amount of normal saline does not prevent medication incompatibilities. It is essential to consult with the pharmacist to verify compatibility before administration.

C) This choice is correct. The nurse should consult with the pharmacist to verify the compatibility of the IV medications before administration. Certain medications may interact with each other or with the IV solution, leading to potential incompatibilities or adverse reactions.

D) This choice is incorrect because increasing the IV flow rate to hasten medication infusion does not prevent medication incompatibilities. It is essential to confirm compatibility before administering the medications.

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A client with a history of heart failure is receiving IV fluids. The nurse should closely monitor the client for which potential complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with an IV catheter in place for medication administration. The nurse observes redness, warmth, and swelling around the insertion site, and the client reports tenderness and pain. Which complication of IV therapy should the nurse suspect?

Correct Answer is C

Explanation

A nurse is preparing to administer IV medications to a client. What should the nurse do to prevent medication incompatibilities during IV therapy?

Correct Answer is C

Explanation

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