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6 rights of medication administration correct answer: Right drug Right dose Right route Right time Right patient Right documentation Infusion therapy and the older adult (3) correct answer: Avoid veins on hand Minimal tape Avoid hard, cordlike veins Infiltration correct answer: Leakage of fluid into surrounding subcutaneous tissue Extravasation correct answer: Infiltration of a vesicant medication that causes tissue damage Prevention of infiltration and extravasation (8) c...

1. The nurse is caring for a client in the ICU after a head trauma who begins to urinate 4000 mL per day. Which prescription by the HCP will the nurse expect? a. Monitor glucose and use sliding scale insulin b. Place the client with HOB elevated c. Administer desmopressin as prescribed d. Ensure client drinks 2000 mL of water 2. The nurse is caring for a client with an aldosterone deficiency and is reviewing lab and assessment findings. Which result would the nurse expect to find in the m...

1. The nurse is caring for a client who is receiving Peritoneal Dialysis (PD). What is the priority nursing intervention during dialysis exchange? a. Check blood glucose levels prior to dialysate instillation b. Position the client only on the right side during instillation c. Use sterile technique when connecting dialysate bags d. Make sure the fluid is refrigerated right before instillation 2. The nurse is caring for a client who has an arteriovenous (AV) fistula in the right upper arm ...

1. The nurse is caring for a client receiving enteral tube feedings who suddenly begins coughing with a sudden drop in oxygen saturation. The nurse suspects aspiration and is concerned that the client is at risk for the development of complications. Which s/s would the nurse assess for? (SATA) A. Dyspnea, tachypnea, and subcostal retractions B. SaO2 level at 85% on a non-rebreather mask C. Wheezes upon expiration and PaCO2 40 D. BP 150/100 mmHg and PaO2 80 mmHg E. A PaO2 of 50 mmHg and i...