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The nurse understands that the patient has likely developed
Lithium toxicity and will need to be monitored for seizure activity
- Lithium toxicity
,- Seizure activity
And nurses preparing to initiate intravenous fluids via infusion pump
to our client. Which of the following actions should the nurse take?
d. Check the expiration date on safety inspection sticker of the pump
A nurse is caring for a client who has an implanted venous access
port. Which of the following should the nurse use to access the port?
a. A non coring needle
a nurse is conducting an initial assessment of a client and notices A discrepancy
between the client's current IV infusion and the information received during the shift
report. Which of the following actions should the nurse take?
d. compare the current infusion with the prescription and the
client's medication record
,A nurse is caring for a client who is near the end of life and is on a complete
bed rest. The client states that he needs to have a bowel movement. The
nurse offers a bed pan. The client states "I ve always used the bathroom".
Which of the following responses should the nurse make?
a. Tell me what concerns you have about using a bedpan
A nurse is caring for a client who is in labor. Select the five
actions the nurse should take.
a. Increase the flow rate of the maintenance IV fluid
b. have the charge nurse notify the provider
c. place the client in a trendelenburg position
d. exert upward pressure on the presenting part
A nurse is providing an in service about client evacuation during a fire. Which
of the following client should the nurse instruct the staff to evacuate first?
a. A client who is ambulatory and receiving oxygen
, A nurse is assessing a client who has a possible right pneumothorax.
Which of the following findings should the nurse expect the?
a. Reduced right sided breath sounds
Which of the following interventions should the nurse include in
the plan of care? Select all that apply
a. increase oxygen flow rate to 4L/min
b. assess the clients breath sounds
c. perform chest percussions and vibration
A nurse is caring for a client who is postoperative following a liver
biopsy. Which of the following positions should the nurse place
the client immediately following the procedure?
Right lateral