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Foundations II Test 1 Questions and Answers scored A

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Foundations II Test 1 Questions and Answers scored A the nurse is flushing the patient's IV tubing in preparation for changing the tubing. Inadvertently, the spike of the new IV tubing drops to the floor. which of the following actions should the nurse take next? A. continue with the preparation of the IV tubing set B. quickly pick up the IV spike and continue using it C. discard the IV tubing and prepare another set D. clean off the IV tubing spike with alcohol to continue using it - ANS- C. discard the IV tubing and prepare another set The nurse is administrating an IV push medication and notes precipitation at the medication insertion site. What should the nurse do next? A. change the IV infusion container to prevent further precipitation B. disconnect the IV tubing, flush it thoroughly and reconnect the tubing C. immediately stop the IV infusion and change the IV tubing D. Increase the IV infusion rate to flush the consolidation - ANS- C. immediately stop the IV infusion and change the IV tubing the nurse preceptor is discussing IV management with the new graduate nurse. Which statement about changing the primary administration sets shows that the graduate is knowledgeable about IV management? A. when blood has backed up in it B. with a new central venous access device or when a peripheral catheter is inserted C. every 24 hours D. every 48 hours - ANS- B. with a new central venous access device or when a peripheral catheter is inserted a patient is receiving a daily lipid infusion. how often should the nurse change the administration set? A. every 6 hours B. every 96 hours C. every 48 hours D. every 24 hours - ANS- D. every 24 hours a patient who is receiving IV fluids complains that he wants his tubing changed every day. the nurse knows that the tubing should be changed no sooner than every 96 hours. what should the nurse tell the patient about the more frequent tubing is changed? A. more frequent tubing changes increase the risk of embolism B. more frequent tubing changes increase the risk of infection C. more frequent tubing changes cause undue strain on the nurse D. more frequent tubing changes cause an extra expense for the patient - ANS- B. more frequent tubing changes increase the risk of infection a nursing report is an important component of care. during the report, what is the primary purpose of an effective exchange of information? A. the patient recieves continuity of care B. the accepting nurse recieves notification of new practitioner orders C. new trends in care are indentified D. the patient's risk status is stabilized - ANS- A. the patient recieves continuity of care which is the safest strategy when providing a recorded nursing report? A. ask the charge nurse to cover the patient's care so that the reporting nurse can leave B. call the accepting nurse to see if he or she can come in early C. leave after recording the report with instructions for the accepting nurse to call with questions D. stay until after the accepting nurse listens to the report - ANS- D. stay until after the accepting nurse listens to the report the progressive care unit uses a recorded system for nursing reports. in the past, nurses have designated positions in the hall where they could record and listen to reports. now the unit governance council has mandated that recording and listening must be done in the medication room, nurse lounge, or dictation room. what is the reason for this change?


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