An IV of 1000 mL at 100 mL per hr is started at 1200 hours. At 1800 hours, 400 mL have been infused. How many mL should have been infused? How could this have been prevented?
What will be an ideal response?
600 mL should have been infused. Monitoring IV infusion rates and volume infused frequently, at least every hour or more often, and during every visit to bedside, can prevent this type of error.
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In the assault cycle, people are unable to listen to reason, follow directions, or engage in mental exercises during the stage of
1. crisis. 2. trigger. 3. recovery. 4. escalation.
The nurse is planning care for an older client who has been admitted for influenza. The nurse plans to monitor this client closely for:
1. renal failure. 2. green or rust-colored sputum. 3. anorexia. 4. decreasing body temperature.
A client is in the clinic for an annual examination and questions the need for a pelvic examination and Pap smear because she had a hysterectomy many years ago. Which response by the nurse is most appropriate?
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