ATI RN
ATI Pharmacology Assessment 1 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take?
Correct Answer: A,B,D,E
Rationale:
Correct Answer: A,B,D,E
Rationale:
A: Contact the provider to inform them of the error and seek guidance on necessary interventions.
B: Report the error to the charge nurse for documentation and investigation to ensure proper follow-up.
D: Auscultate the client's lungs to assess for signs of fluid overload, such as crackles or decreased breath sounds.
E: Check the client for peripheral edema to assess for fluid retention, a common sign of excessive IV fluids.
These actions address immediate assessment, communication, documentation, and monitoring to ensure appropriate management of the error and client safety. Placing an incident report alone (choice
C) does not address immediate client assessment and intervention.
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
Correct Answer:
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