11 Questions
What assessment would concern the nurse the most when preparing to administer 0.9% NaCl to a dehydrated 76-year-old patient?
Urine output the past 3 hours is 75 ml
What action will the nurse take after a patient receiving a fluid bolus of 500ml over an hour shows symptoms of AP 110, pulse-ox. 90%, BP 140/96, and dyspnea?
Put the patient in high Fowler's position
Which lab results will the nurse need to report to the physician right away for a hospitalized patient with low back pain?
BUN 40, potassium 4.9, creatinine 4.1
What action will the nurse take if a patient ordered an IV of NS at 50ml/hr. for 8 hours has only received 100ml of IV fluid for the shift?
Increase the infusion rate to catch up the amount behind
Which solution would the nurse anticipate being ordered to replace fluid loss for a patient receiving fluid resuscitation for a burn sustained 3 hours ago?
Lactated Ringer’s
Which patients need IV fluids? Select all that apply.
A patient with diabetic ketoacidosis and a blood sugar of 504
A 60 year old patient with no previous lung disease is receiving Normal Saline at 150ml/hour and begins to experience shortness of breath and the pulse oximeter is 90%. Which action would the LPN take first?
Notify physician of the patient’s symptoms.
What will the nurse do if the patient's vitals are temp. 98.0, pulse 109, resp. 20, BP 84/48, and pulse oximeter 95% when the infusion of 0.45% normal saline is alarming due to an empty bag?
Notify the physician of the vital signs and ask for an IV solution that is not hypotonic.
Which statement made by the nurse indicates understanding of isotonic solutions?
"It will cause fluid to shift into the intravascular space."
What action will the LPN take when a 17-year-old patient presents to an Ohio hospital Emergency Department and needs an IV started stat?
Notify an Emergency room RN about the IV order.
What action will the LPN take when receiving an order to start Gentamycin (Cydomycin) by IVPB route for a 19-year-old female who is MRDD?
Disregard the order, as the LPN cannot han…
Test your knowledge of nursing assessments and interventions for patients receiving fluid infusions. Assess which symptoms would concern the nurse the most and determine appropriate actions based on patient conditions.
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