A 70-year-old with severe dehydration is ordered an infusion of an isotonic solution at 250 mL/hr through a midline IV catheter. After 2 hours, the nurse notes that the client has crackles throughout all lung fields. Which action does the nurse take first?

A. Assesses the midline IV insertion site
B. Has the client cough and deep breathe
C. Notifies the health care provider about the crackles
D. Slows the rate of the IV infusion


Ans: D. Slows the rate of the IV infusion

Nursing

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The physician providing care for a terminally ill patient orders an MRI of the patient's abdomen. The nurse does not think this treatment is necessary. How should the nurse respond to the physician who requested this test?

1. "Will the benefits of this test outweigh the discomfort of transferring the patient to the MRI machine?" 2. "How will the results of this test change what we are doing for the patient?" 3. "I don't see the purpose of this test." 4. "We won't be able to schedule the MRI until the order is countersigned by the patient's surgeon." 5. "Has the family approved of us doing this testing?"

Nursing

A general timeline for a literature search for an academic paper or project is to go back how far in the literature?

a. At least the last 6 months to 2 years b. At least the past 3 to 5 years c. At least the past 6 to 10 years d. At least the past 12 to 15 years

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A client reports waking up feeling very tired, even after 8 hours of good sleep. What is the nurse's best action?

a. Ask for an order for sleep medication. b. Tell the client not to drink beverages with caffeine. c. Tell the client not to lie flat at night. d. Ask the client whether he or she has ever been evaluated for sleep apnea.

Nursing

Providing ongoing care to the pregnant teenager is considered:

1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Health promotion

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