A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed several times. Which of the following actions should the nurse take first?
Check the IV site for redness.
Reposition the client's left arm.
Flush the IV catheter
Ensure the tubing connections are secure.
The Correct Answer is B
Choice A rationale: Checking the IV site for redness is a secondary action and may not directly address the alarm issue.
Choice B rationale: Repositioning the client's left arm is the first action to assess and address any potential issues related to the alarm, such as a kinked or occluded IV line.
Choice C rationale: Flushing the IV catheter is not the first action in response to an alarm; assessing the line and repositioning the arm take precedence.
Choice D rationale: Ensuring tubing connections are secure is important but is not the initial step in addressing the alarm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Cachexia, or extreme wasting and malnutrition, is a common finding in individuals with severe malnutrition.
Choice B rationale: Hyperproteinemia (increased protein levels) is not typically associated with malnutrition.
Choice C rationale: Diplopia (double vision) is not a direct finding of malnutrition. Choice D rationale: Hypermagnesemia (elevated magnesium levels) is not a typical finding in malnutrition.
Correct Answer is A
Explanation
Choice A rationale: Drinking 2 to 3 L of fluids daily is important to maintain adequate hydration and help flush bacteria from the urinary tract, reducing the risk of urinary tract infections.
Choice B rationale: Taking an antacid 30 minutes before ciprofloxacin is not recommended, as it can interfere with the absorption of the medication. Ciprofloxacin should be taken with a full glass of water.
Choice C rationale: Monitoring heart rate is not directly related to ciprofloxacin therapy for urinary tract infections.
Choice D rationale: Taking a laxative is not necessary for preventing constipation related to ciprofloxacin use for urinary tract infections.
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