ATI_RN_Fundamentals_2023 revised.

Question 2: A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first? A. Obtain the client's vital signs. B. Notify the healthcare provider. C. Document the incident in the client’s medical record. D. Assess the client for adverse reactions. Explanation Notify the healthcare provider. The nurse should first notify the healthcare provider of the error in administering the IV bolus. This is important because the healthcare provider can assess the situation and provide guidance on how to proceed. Choice A is not the correct answer because obtaining the client’s vital signs is important but not the first action the nurse should take. Choice C is not the correct answer because documenting the incident in the client’s medical record is important but not the first action the nurse should take. Choice D is not the correct answer because assessing the client for adverse reactions is important but not the first action the nurse should take. ________________________________________ Question 3: A nurse is documenting client care. Which of the following abbreviations should the nurse use? A. "SC" for subcutaneous. B. "SS" for a sliding scale. C. "BRP" for bathroom privileges. D. "OJ" for orange juice.