Author Question: A new nurse is working for the cardiac unit of the community hospital. The health care provider has ... (Read 41 times)

xroflmao · **on:** Jul 22, 2018

A new nurse is working for the cardiac unit of the community hospital. The health care provider has ordered 20 mEq of KCl per L to be added to the fluids that the patient is receiving. The patient currently has a bag of D5W IV fluid infusing.

Which of the following actions is most appropriate? A. Pushing 20 mEq KCl diluted in 5 mL of fluid in five minutes
B. Estimating the amount of fluid in bag that is infusing and adding KCl to equal 20 mEq/L
C. Replacing bag after it has infused with one containing 20 mEq KCl/L
D. Removing current IV bag and replacing with fluids that have been ordered

Question 2

A nurse is assigned to multiple patients on a busy surgical unit. The nurse knows actions that contribute to causing health careacquired infections include:

A. washing hands before applying a dressing.
B. taping a paper bag to the bed rail for tissue disposal.
C. hanging a Foley bag in a dependent position on the side of the bed.
D. using an iodine preparation to cleanse the skin before starting an intravenous line.

dajones82 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Under no circumstances should KCl be given in an IV push. A direct IV infusion of KCl may be fatal. IV administration of KCl requires dilution in solution and infusion over a period of time.

Answer to Question 2

B
You should use a plastic bag, which will prevent exposure of skin or mucous membranes to the contents. The other answers prevent health careacquired infections.