An LPN is assisting the RN in the care of a client who is receiving an intravenous (IV) infusion. The client reports to the LPN that they are feeling a sudden onset of itching and shortness of breath. Which of the following priority actions should the LPN take?
Notify the provider.
Stop the infusion.
Obtain vital signs.
Call a rapid response.
The Correct Answer is B
A. Notifying the provider is important but not the immediate priority; the infusion must be stopped first to prevent further exposure.
B. Stopping the IV infusion is the priority action because the client’s symptoms—itching and shortness of breath—indicate a potential allergic reaction or anaphylaxis. Immediate cessation of the infusion prevents worsening of the reaction.
C. Obtaining vital signs is important for assessment but should occur after stopping the infusion.
D. Calling a rapid response may be necessary if the client’s condition deteriorates, but the first action is to stop the infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Calcium levels are not typically affected by NG tube drainage.
B. Large-volume NG tube drainage results in loss of gastric secretions, which are rich in potassium, placing the client at risk for hypokalemia.
C. Magnesium levels are not commonly affected by gastric fluid loss.
D. Hemoglobin is not directly affected by NG tube drainage unless significant blood loss occurs.
Correct Answer is A
Explanation
A. Performing hand hygiene frequently and consistently is the most effective method to prevent the spread of pathogens and reduce healthcare-associated infections.
B. Proper disposal of contaminated equipment is important, but hand hygiene has a greater impact on infection prevention.
C. Changing soiled linens helps maintain cleanliness but is secondary to hand hygiene in preventing pathogen transmission.
D. Discarding used syringes safely prevents needle-stick injuries but does not directly prevent the spread of pathogens between clients.
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