A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag.

At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)

Choice A rationale:

Low blood pressure (BP) is a symptom of hypovolemic shock due to decreased blood volume, but the pulse rate typically increases as the body tries to compensate for the low BP, not decrease.

Choice B rationale:

Hypovolemic shock is characterized by low BP due to loss of blood or fluid volume and a high pulse rate as the body tries to compensate for the decreased blood flow.

Choice C rationale:

High BP is not typically associated with hypovolemic shock. Instead, BP is usually low due to decreased blood volume.

Choice D rationale:

High BP is not typically a symptom of hypovolemic shock. While the pulse rate may be high as the body tries to compensate for low blood volume, the BP is usually low.

Choice A rationale:

The list obtained from the client should include all medications the client is taking, regardless of who prescribed them. This includes over-the-counter medications and supplements.

Choice B rationale:

Providing a comprehensive list of medications for the client at the time of discharge is an important component of medication reconciliation. This helps to ensure the client understands what medications they should be taking, how to take them, and why they are taking them.

Choice C rationale:

The reconciliation process should be completed at each transition of care, not just when the client is first admitted to the hospital. This is to ensure that any changes in medication are accurately documented and communicated.

Choice D rationale:

A nurse should not write a verbal order in the medical record for medications the client was taking at home without confirmation from the provider. This could lead to errors in medication administration.