The nurse is caring for a client receiving IV fluids via an ...

[brutforce]

The nurse is caring for a client receiving IV fluids via an electronic infusion device when the alarm indicating occlusion rings on the pump. What should the nurse do first?
 
  a. Assess all tubings for kinks.
  b. Assess the pump for the proper rate.
  c. Assess the IV fluid bag to be sure adequate volume is in the bag.
  d. Make sure that the pump is plugged into the electrical outlet.

Question 2

The nurse is preparing to administer an IV bolus of pain medication to a surgical client and realizes the first action is to:
 
  a. don sterile gloves.
  b. cleanse the port with alcohol.
  c. wash hands.
  d. draw back the plunger to check for blood return.

[aham8f]

Answer to Question 1

ANS: A

Feedback
A Correct: A common cause of IV occlusions is the presence of kinks in the IV tubing, so these need to be checked and any found removed as soon as possible.
B Incorrect: This action will not address the occlusion alarm.
C Incorrect: This action will not address the occlusion alarm.
D Incorrect: This action will not address the occlusion alarm.

Answer to Question 2

ANS: C

Feedback
A Incorrect: Unless the facility protocol states to use sterile gloves, clean gloves can be used, but not until after the nurse's hands are washed.
B Incorrect: This is not the first step.
C Correct: The first action of the nurse is to wash the hands before donning gloves.
D Incorrect: This is not the first step.

[brutforce]

Gracias!

[kishoreddi]

Excellent