a home care nurse prepares to administer intravenous medication to a client the nurse assesses the site and reviews the clients chart prior to adminis
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Nursing Elites

ATI RN

ATI Fluid Electrolyte and Acid-Base Regulation

1. A home care nurse prepares to administer intravenous medication to a client. The nurse assesses the site and reviews the clients chart prior to administering the medication: Client: Thomas Jackson DOB: 5/3/1936 Gender: Male January 23 (Today): Right uppe

Correct answer: B

Rationale:

2. A nurse develops a plan of care for a client who has a history of hypocalcemia. What interventions should the nurse include in this clients care plan? (Select all that apply.)

Correct answer: B

Rationale:

3. You are performing an admission assessment on an older adult patient newly admitted for end-stage liver disease. What principle should guide your assessment of the patients skin turgor?

Correct answer: C

Rationale:

4. Place a washcloth between the skin and tourniquet

Correct answer: D

Rationale:

5. When selecting a site on the hand or arm for insertion of an IV catheter, the nurse should:

Correct answer: B

Rationale: When selecting a site for insertion of an IV catheter, the nurse should choose a distal site, not a proximal site. Opting for a distal site ensures that upper veins remain available for future cannulations. Instructing the patient to hold their arm in a dependent position can enhance blood flow, aiding in the procedure. It is crucial never to leave a tourniquet on for more than 2 minutes as prolonged restriction can lead to complications. Choice A is incorrect because a proximal site is not preferred for IV insertion. Choice C is incorrect as having the patient hold their arm over their head is not necessary and may impede proper blood flow. Choice D is incorrect as leaving the tourniquet on for at least 5 minutes is excessive and can be harmful.

Similar Questions

You are the surgical nurse caring for a 65-year-old female patient who is postoperative day 1 following a thyroidectomy. During your shift assessment, the patient complains of tingling in her lips and fingers. She tells you that she has an intermittent spasm in her wrist and hand and she exhibits increased muscle tone. What electrolyte imbalance should you first suspect?
The term used to describe a blood sodium level of more than 145 mEq/L is:
What electrolyte value should be monitored when a patient is receiving a loop diuretic?
The healthcare professional working in the PACU is aware that which of the following procedures may contribute to extracellular losses?
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