ATI Fundamental Exams | Nurselytic

Questions 85

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ATI Fundamental Exams Questions

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Question 1 of 5

A nurse is attempting to flush the IV saline lock for a client. The client reports pain above the catheter site. Which of the following actions should the nurse take?

Correct Answer: B

Rationale:
Correct
Answer: B - Remove the IV saline lock.


Rationale: Pain above the catheter site during flushing could indicate catheter-related phlebitis, a common complication of IV therapy. Removing the IV saline lock is crucial to prevent further irritation, infection, or complications. This action allows for a thorough assessment of the catheter site and the need for further interventions such as a new IV placement or medication to address the inflammation.

Incorrect

Choices:
A: Applying a warm compress may provide temporary relief but does not address the underlying issue of catheter-related phlebitis.
C: Injecting the solution more slowly does not address the cause of pain and could potentially worsen the situation if there is an underlying issue with the catheter.
D: Applying firm pressure to the plunger may cause discomfort to the client and does not address the root cause of pain above the catheter site.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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