NURSING NCLEX MODULE 8 EXAM

NURSING NCLEX MODULE 8 EXAM .Submission Details • Submission Time: 9:55 PM • Points Awarded: 115 • Points Missed: 10 • Number of Attempts Allowed: 1 • Not Scored: 0 • Percentage: 92% 1. Questions 1. 1.ID: 4 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 should take which action first? A. Remove the IV catheter Correct B. Slow the rate of infusion C. Notify the health care provider D. Check for loose catheter connections Awarded 1.0 points out of 1.0 possible points. 2. 2.ID: 8 A nurse hangs a 500­mL 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 action should the nurse take first? A. Remove the IV B. Sit the client up in bed C. Shut off the IV infusion Correct D. Slow the rate of infusion Awarded 1.0 points out of 1.0 possible points. 3. 3.ID: 8 A nurse discontinues an infusion of a unit of packed red blood cells (RBCs) because the client is experiencing a transfusion reaction. After discontinuing the transfusion, which action should the nurse take next? A. Remove the IV catheter B. Contact the health care provider Correct C. Change the solution to 5% dextrose in water D. Obtain a culture of the tip of the catheter device removed from the client