Pharmacology and Intravenous therapies: Nclex Remediation course {ACTUAL EXAM GRADED A}

Pharmacology and Intravenous therapies: Nclex Remediation course {ACTUAL EXAM GRADED A} A nurse notes that the site of a client's peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous near the insertion point of the catheter. On the basis of this assessment, the nurse first: A Removes the IV catheter B Slows the rate of infusion C Notifies the healthcare provider D Checks for loose catheter connections ANS - A Removes the IV catheter A nurse hangs a 500-mL bag of intravenous (IV) fluid for an assigned client. One hour later the client complains of chest tightness, is dyspneic and apprehensive, and has an irregular pulse. The IV bag has 100 mL remaining. Which of the following actions should the nurse take first? A Removing the IV B Sitting the client up in bed C Shutting off the IV infusion D Slowing the rate of infusion ANS - C Shutting off the IV A nurse discontinues infusion of a unit of packed red blood cells (RBCs) because the client is experiencing a transfusion reaction. After discontinuing the transfusion, which of the following actions does the nurse take next? A Removing the IV catheter B Contacting the healthcare provider C Changing the solution to 5% dextrose in water D Obtaining a culture of the tip of the catheter device removed from the client ANS - B Contacting the healthcare provider A client with heart failure is being given furosemide (Lasix) and digoxin (Lanoxin). The client calls the nurse and complains of anorexia and nausea. Which action should the nurse take first? A Administering an antiemetic B Administering the daily dose of digoxin C Discontinuing the morning dose of furosemide D Checking the result of laboratory testing for potassium on the sample drawn 3 hours ago ANS - D Checking the result of laboratory testing for potassium on the sample drawn 3 hours ago A physician prescribes the administration of parenteral nutrition (PN), to be started at a rate of 50 mL/hr by way of infusion pump through an established subclavian central line. After the first 2 hours of the PN infusion, the client suddenly complains of difficulty breathing and chest pain. The nurse immediately: A Obtains blood for culture B Clamps the PN infusion line C Obtains a sample for blood glucose testing D Obtains an electrocardiogram (ECG) ANS - B Clamps the PN infusion line