Fluid and Electrolytes ATI

Questions 40

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Fluid and Electrolytes ATI Questions

Question 1 of 5

The patient asks the nurse if he will die if air bubbles get into the IV tubing. What is the nurse's best response?

Correct Answer: B

Rationale: An air emboli is more often associated with central vein access. Usually only relatively large volumes of air administered rapidly are dangerous. It is more often a concern when air enters a central venous access line.

Question 2 of 5

The nurse who assesses the patient's peripheral IV site and notes edema around the insertion site will document which complication related to IV therapy?

Correct Answer: C

Rationale: Infiltration is the administration of nonvesicant solution or medication into the surrounding tissue. This can occur when the IV cannula dislodges or perforates the wall of the vein. Infiltration is characterized by edema around the insertion site, leakage of IV fluid from the insertion site, discomfort and coolness in the area of infiltration, and a significant decrease in the flow rate.

Question 3 of 5

Third spacing occurs when fluid moves out of the intravascular space but not into the intracellular space. Based upon this fluid shift, the nurse will expect the patient to demonstrate:

Correct Answer: D

Rationale: Third-spacing fluid shift, which occurs when fluid moves out of the intravascular space but not into the intracellular space, can cause hypovolemia.

Question 4 of 5

The nurse is assessing the patient for the presence of a Chvostek's sign. What electrolyte imbalance does a positive Chvostek's sign indicate?

Correct Answer: C

Rationale: A brief contraction of the upper lip, nose, or side of the face indicates Chvostek's sign, which is associated with hypocalcemia.

Question 5 of 5

A nurse preparing to start an IV on a newly admitted patient teaches the patient about the procedure and begins to prepare the site. The nurse should always start by:

Correct Answer: C

Rationale: Before preparing the skin, the nurse should ask the patient if he or she is allergic to latex or iodine, which are products commonly used in setting up for IV therapy. A local reaction could result in irritation to the IV site or, in the extreme, it could result in anaphylaxis, which can be life threatening.

Similar Questions

A nurse preparing to start an IV on a newly admitted patient teaches the patient about the procedure and begins to prepare the site. The nurse should always start by:
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