The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection?

The nurse applies a tourniquet to assess a vein.

The nurse dons gloves before starting the IV.

The nurse blows on the area cleansed with alcohol to dry it quickly

The nurse cleans the area with an alcohol pad

Answer and Explanation

The Correct Answer is C

A. The nurse applies a tourniquet to assess a vein: Applying a tourniquet is standard practice and does not increase infection risk if proper technique is used.

B. The nurse dons gloves before starting the IV: Wearing gloves minimizes the risk of infection for both the patient and the nurse.

C. The nurse blows on the area cleansed with alcohol to dry it quickly: Blowing on the site introduces bacteria from the nurse's breath to the cleansed area, increasing the risk of infection.

D. The nurse cleans the area with an alcohol pad: Cleaning the site with alcohol reduces the risk of infection and is standard practice.

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Correct Answer is B

Explanation

A. Hypotension: Hypercalcemia (high calcium levels) typically causes increased blood pressure, not hypotension.

B. Decreased deep tendon reflexes: High calcium levels can depress neuromuscular function, leading to diminished or absent deep tendon reflexes. This is a common finding in hypercalcemia.

C. Diarrhea: Hypercalcemia is more commonly associated with constipation, not diarrhea.

D. Increased appetite: Hypercalcemia does not cause increased appetite. It often leads to symptoms such as nausea, vomiting, or a reduced appetite.

Correct Answer is ["25"]

Explanation

Flowrate(gtt/min) = Volume /Time× Dropfactor(gtt/mL)

Rate= 100ml /60min×15 gtt/mL

= 25 gtt/min

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The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has a calcium level of 12 mg/dL (9-10.5 mg/dL). Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse is preparing to administer dextrose 5% in water (DSW) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["25"]

Explanation

A nurse in a provider's office is collecting data from a client who takes furosemide daily for heart failure. Which of the following findings is a manifestation of hypokalemia?

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