A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

Crackles upon auscultation

Bounding pulse

Pitting edema

Swelling at the IV site

Urine-specific gravity greater than 1.030

Answer and Explanation

Correct Answer : A,B,C

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Correct Answer is A

No explanation

A. Ask an assistive personnel (AP) to verbalize the steps for removing an IV catheter. B. Research how to remove an IV catheter from the internet. C. Find an article in a nursing journal that is less than 5 years old on how to remove IV catheters. D. Review the facility's policies and procedures manual about removing IV catheters.

Correct Answer is D

Explanation

A.While an assistive personnel (AP) might assist with some tasks, they are not typically responsible for providing detailed procedural guidance on medical tasks. The nurse should seek guidance from established protocols and trained professionals.

B.While online resources can be helpful, they might not reflect the specific protocols or best practices of the facility. It's crucial to follow the facility’s policies and procedures to ensure consistency and compliance with organizational standards.

C.While reviewing current literature is beneficial for understanding best practices, the most immediate and relevant source of information is the facility's own policies and procedures. These documents will reflect the specific protocols that the facility requires.

D.Reviewing the facility's policies and procedures manual ensures that the nurse follows the specific guidelines and standards set by the institution. This approach aligns with organizational requirements and helps ensure that the procedure is performed correctly and safely within the context of the facility’s protocols.

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A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGS? pH 7.22 PaCO2 68 mm Hg Base excess-2 PaO2 78 mm Hg Saturation 80% Bicarbonate 26 mEq/L

Correct Answer is A

A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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