ATI RN Fundamentals 2019 II | Nurselytic

Questions 55

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ATI RN Fundamentals 2019 II Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The correct action for the nurse to take first is to obtain the client's vital signs (
Choice
C). This is crucial to assess the client's response to the IV bolus, including monitoring for signs of fluid overload or other adverse effects. Vital signs such as blood pressure, pulse rate, respiratory rate, and temperature provide important information on the client's current status. Documenting the fluid infusion (
Choice
A) and reporting the incident to the unit manager (
Choice
D) are important steps but should follow the immediate assessment of the client's condition. Completing an incident report (
Choice
B) should also be done after ensuring the client's safety and well-being.

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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