A nurse hangs a bag of dextrose 5% in water 1,000 mL at 0800 to run at 125 mL/hr. At 1200, the nurse notices that the client's IV bag is empty. Which of the following interventions should the nurse take first?

Notify the primary care provider.

Calculate the infused volume.

Complete an incident report.

Assess the client's vital signs.

Answer and Explanation

The Correct Answer is D

The nurse should assess the client's vital signs first to determine if there are any signs of fluid overload, such as hypertension, edema, crackles, or dyspnea. The nurse should then notify the primary care provider.

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Correct Answer is D

Explanation

The nurse should ask a second nurse to record her signature when wasting any unused portion of the controlled substance. This is to ensure accountability and prevent diversion of narcotics. The nurse and the witness should document the amount wasted and the reason for wasting in the log book or electronic system.

A. The client's telephone number B. The client's room number C. The name of the client's next of kin D. The client's admitting diagnosis

Correct Answer is C

Explanation

The name of the client's next of kin. The rationale for this answer is that the name of the client's next of kin is a unique identifier that can be verified by the client or by checking the medical record.

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A nurse hangs a bag of dextrose 5% in water 1,000 mL at 0800 to run at 125 mL/hr. At 1200, the nurse notices that the client's IV bag is empty. Which of the following interventions should the nurse take first?

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Correct Answer is D

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Correct Answer is C

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A nurse hangs a bag of dextrose 5% in water 1,000 mL at 0800 to run at 125 mL/hr. At 1200, the nurse notices that the client's IV bag is empty. Which of the following interventions should the nurse take first?