ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client receiving IV therapy in the left forearm and notices that the site is red, swollen, and warm. Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: The correct action is to discontinue the existing IV infusion (
Choice
B) first. The redness, swelling, and warmth at the IV site indicate phlebitis, which is inflammation of the vein. Discontinuing the infusion is crucial to prevent further damage and infection. This step helps to stop the irritant (IV solution) from causing more harm. Inserting an IV catheter in the opposite extremity (
Choice
A) does not address the current issue and may lead to the same problem. Applying warm, moist compresses (
Choice
C) could potentially worsen the inflammation. Elevating the extremity (
Choice
D) may provide some relief, but it does not address the root cause.
Therefore, discontinuing the existing IV infusion is the most appropriate immediate action to take in this situation.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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