A client with chronic kidney disease is receiving IV therapy with a potassium-containing solution. The nurse should carefully monitor the client for which complication?

Hypokalemia

Hyperkalemia

Hypocalcemia

Hyponatremia

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because receiving a potassium-containing solution is not associated with hypokalemia, but rather with the risk of hyperkalemia due to the increased potassium intake.

B) This choice is correct. Clients with chronic kidney disease are at risk of hyperkalemia, and receiving a potassium-containing solution through IV therapy can further elevate potassium levels.

C) This choice is incorrect because IV therapy with a potassium-containing solution is not related to hypocalcemia.

D) This choice is incorrect because IV therapy with a potassium-containing solution is not associated with hyponatremia.

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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.

A. Infiltration B. Extravasation C. Phlebitis D. Air embolism

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.

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A client with chronic kidney disease is receiving IV therapy with a potassium-containing solution. The nurse should carefully monitor the client for which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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 client receiving IV antibiotics develops sudden onset dyspnea, chest pain, and cyanosis. The nurse should suspect which complication of IV therapy?

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A nurse is caring for a client with an IV catheter in place for medication administration. The nurse notes swelling and coolness around the insertion site. Which complication of IV therapy should the nurse suspect?

A client receiving an IV medication suddenly develops generalized hives, facial swelling, and difficulty breathing. The nurse should suspect which type of hypersensitivity reaction?

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A nurse is caring for a client with an IV catheter in place for medication administration. The nurse observes swelling, coolness, and pallor around the insertion site. The infusion has slowed, and the client reports discomfort. Which complication of IV therapy should the nurse suspect?