A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)

Contact the provider.

Report the error to the charge nurse.

Place an incident report in the client’s chart.

Auscultate the client’s lungs.

Check the client for peripheral edema.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale
Contacting the provider is essential to inform them of the error and receive further instructions on managing the client’s condition.
Choice B rationale
Reporting the error to the charge nurse is necessary for proper documentation and to ensure that corrective actions are taken to prevent future errors.
Choice C rationale
Incident reports should not be placed in the client’s chart. They are for internal use to improve safety and quality of care.
Choice D rationale
Auscultating the client’s lungs is important to check for signs of fluid overload, such as crackles or wheezing.
Choice E rationale
Checking for peripheral edema helps assess the extent of fluid overload and its impact on the client’s condition.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale
Prednisone, a corticosteroid, can cause hypokalemia by increasing renal potassium excretion.
Choice B rationale
Torsemide, a loop diuretic, can lead to hypokalemia by promoting potassium loss through urine.
Choice C rationale
Polystyrene sulfonate is used to treat hyperkalemia, but it can cause hypokalemia as it removes potassium from the body.
Choice E rationale
Hydrochlorothiazide, a thiazide diuretic, can cause hypokalemia by increasing potassium excretion in the urine.

A. Calcium. B. Sodium. C. Potassium. D. Magnesium.

Correct Answer is C

Explanation

Choice A rationale
Monitoring calcium levels is not typically necessary for patients taking lisinopril, as it does not significantly affect calcium levels.
Choice B rationale
Sodium levels are not commonly affected by lisinopril, so routine monitoring is not required.
Choice C rationale
Lisinopril can cause hyperkalemia (high potassium levels), so monitoring potassium levels is crucial to prevent complications.
Choice D rationale
Magnesium levels are not significantly impacted by lisinopril, so routine monitoring is not necessary.

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A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients. The nurse should monitor which of the following clients for manifestations of hypokalemia? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a client who has been taking lisinopril for several months. The nurse should plan to check which of the following laboratory values to monitor for adverse effects of the medication?

Correct Answer is C

Explanation

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