3. The nurse is preparing to flush a clients central venous catheter. Which size syringe is best for the nurse to choose?
A. 1 mL
B. 3 mL
C. 10 mL
D. 30 mL
5. The nurse is caring for a postoperative client who has D5W/0.45% normal saline with 10 mEq potassium chloride infusing through a peripheral IV catheter. What are appropriate reasons for the nurse to change the site? Select all that apply.
A. Area around the insertion site feels cool to the touch
B. Client reports mild arm discomfort since the infusion was started
C. Edema is observed on the dependent side of the involved arm
D. Intraoperative peripheral IV catheter is placed in the left antecubital region
E. Serous fluid leaks from the site despite secure connections
7. The nurse is preparing to infuse 2 units of packed red blood cells (PRBCs) to a client with a gastrointestinal bleed. Which actions should the nurse take? Select all that apply.
A. Assess clients vital signs
B. Infuse both units simultaneously
C. Obtain a Y tubing set and prime with normal saline (NS)
D. Plan to remain with client during the 1st 15 minutes of transfusion
E. Set infusion pump to deliver unit over 30 to 45 minutes
F. Spike filtered intravenous (IV) tubing with dextrose 5% water (D5W)
8. A client is receiving a blood transfusion. Fifteen minutes after the transfusion starts, the nurse notes a drop in blood pressure from 110/70 to 84/50 mm Hg. The client reports feeling a little cold. Based on this assessment, in what order should the nurse complete the following actions? All options must be used.A. Administer prescribed vasopressorB.Collect urine specimenC. Document the occurrenceD. Stop the blood transfusionE. Using new tubing, infuse NS into the vein
9. The nurse is making rounds on a medical/surgical floor. Which client should the nurse see first?
A. 32-year-old admitted for opioid withdrawal reporting severe generalized body pains
B. 34-year-old started on blood transfusion 10 minutes ago who reports chills, itching, and back pain
C. 42-year-old admitted with acute pyelonephritis who needs a first dose of IV antibiotic
D. 67-year-old admitted with hepatic encephalopathy who needs a first dose of lactulose