A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)

Contact the provider.

Report the error to the charge nurse.

Place an incident report in the client’s chart.

Auscultate the client’s lungs.

Check the client for peripheral edema.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale
Contacting the provider is essential to inform them of the error and receive further instructions on managing the client’s condition.
Choice B rationale
Reporting the error to the charge nurse is necessary for proper documentation and to ensure that corrective actions are taken to prevent future errors.
Choice C rationale
Incident reports should not be placed in the client’s chart. They are for internal use to improve safety and quality of care.
Choice D rationale
Auscultating the client’s lungs is important to check for signs of fluid overload, such as crackles or wheezing.
Choice E rationale
Checking for peripheral edema helps assess the extent of fluid overload and its impact on the client’s condition.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

Step 1 is to determine the volume of ketorolac to administer. Given: Dose required: 30 mg Concentration: 15 mg/mL Step 1: Calculate the volume to administer: 30 mg ÷ 15 mg/mL = 2 mL The nurse should administer 2 mL of ketorolac.

A. “I hope this new medication won’t make my high blood pressure worse.”. B. “I want to keep using my albuterol when I feel like I need it.”. C. “I am allergic to atropine.”. D. “I usually have a glass of red wine with dinner.”.

Correct Answer is C

Explanation

Choice A rationale
Ipratropium inhalers can potentially increase heart rate and blood pressure, but this is not a common side effect. The concern about high blood pressure is valid but not as critical as an allergy to atropine.
Choice B rationale
Using albuterol with ipratropium is common practice for managing bronchospasm. There is no contraindication for using both medications together.
Choice C rationale
An allergy to atropine is significant because ipratropium is chemically related to atropine. This could lead to a severe allergic reaction.
Choice D rationale
There are no known interactions between ipratropium and alcohol. However, it is always best to consult with a healthcare provider regarding alcohol consumption while on medication.

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A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ketorolac 30 mg IM to a client who is postoperative. Available is ketorolac 15 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider?

Correct Answer is C

Explanation

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