For chronic or duration-unknown hyponatremia, sodium correction limits are treatment limits, not routine nursing targets.
6 Complications and Patient Safety Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Complications and Patient Safety, test your knowledge, and prepare for your next test or exam.
Concentrated IV potassium must be diluted and given by controlled infusion, never as an IV push.
- A
True
- B
False
What is the name of the potentially serious neurologic injury that can result from correcting chronic or duration-unknown hyponatremia too rapidly?
One major guideline recommends avoiding a sodium rise greater than mmol/L in each 24-hour period after the first 24 hours.
If IV access is needed during a suspected infusion reaction, maintain it with a as directed.
One major guideline recommends avoiding a sodium rise greater than what value in the first 24 hours? Enter the value in mmol/L.
Which measures should be included when monitoring an adult receiving IV fluids? Select all that apply.
- A
Trend vital signs
- B
Monitor oxygen saturation
- C
Track intake and output
- D
Monitor weight
- E
Review relevant laboratory results
- F
Check the prescribed infusion rate
- G
Rely on a single initial vital-sign reading instead of reassessing
- H
Ignore laboratory results if the patient has no new symptoms
Which actions help prevent fluid overload during IV therapy? Select all that apply.
- A
Verify the prescribed fluid, volume, and rate
- B
Check pump settings
- C
Confirm the patient's identity
- D
Account for all sources of fluid
- E
Reassess the patient and fluid balance, especially after rate changes or with cardiac or renal disease
- F
Use a faster rate whenever the patient appears thirsty
- G
Stop checking the patient's fluid balance once the pump is programmed
An adult receiving IV fluids has changing fluid and electrolyte needs. How should the nurse adjust reassessment?
- A
Keep the same reassessment schedule regardless of changes in the patient's condition
- B
Increase reassessment frequency when the patient's condition or fluid and electrolyte needs are changing
- C
Reassess only after the entire prescribed volume has infused
- D
Base reassessment frequency only on whether a pump is being used
A patient receiving IV fluids develops new breathlessness, crackles, and falling oxygen saturation. What should the nurse do first?
- A
Increase the infusion rate to complete the prescribed volume sooner
- B
Stop or pause the infusion, assess airway and breathing, sit the patient upright if tolerated, and urgently escalate
- C
Wait for the next routine vital-sign check before taking action
- D
Administer a diuretic independently and continue the infusion
During an infusion, a patient develops hives and wheezing. What is the priority response?
- A
Continue the infusion while checking whether the hives resolve
- B
Slow the infusion and wait for a routine provider round
- C
Stop the suspected infusion, summon emergency help, assess airway, breathing, and circulation, and follow the anaphylaxis protocol
- D
Flush the infusion tubing to clear the suspected product
After a patient experiences an infusion reaction, what information should the nurse document?
Adults receiving IV fluids should be reassessed more frequently when their condition or fluid and electrolyte needs are changing.
- A
True
- B
False
What serious neurologic injury can result from correcting chronic or duration-unknown hyponatremia too rapidly?
One major guideline recommends avoiding a sodium rise greater than what amount in the first 24 hours when treating hyponatremia? This is a treatment limit, not a routine nursing target.
A patient with renal disease is receiving IV fluids. Which nursing approach best helps prevent fluid overload?
- A
Check the prescribed fluid and rate, but count only the IV bag when assessing total fluid intake.
- B
Verify the prescribed fluid and rate, account for all fluid sources, and reassess the patient and fluid balance.
- C
Increase the infusion rate if the patient has no new symptoms.
- D
Use a pump for every infusion and omit further reassessment once it is running.
A nurse finds an order to administer concentrated IV potassium by direct IV push. What is the safest response?
- A
Give the concentrate by slow IV push while observing the patient.
- B
Dilute the concentrate and administer it as a rapid infusion without monitoring.
- C
Do not give it by IV push; follow the approved diluted, controlled-infusion procedure.
- D
Administer the concentrate undiluted through a running IV line.
A patient receiving IV fluids develops new dyspnea, crackles, and falling oxygen saturation. What should the nurse do first?
- A
Stop or pause the infusion, assess airway and breathing, sit the patient upright if tolerated, and urgently escalate.
- B
Increase the infusion rate to complete the prescribed volume sooner.
- C
Restart the infusion after briefly checking the patient's temperature.
- D
Administer a diuretic independently and continue the infusion.
After responding to a suspected infusion reaction, which information should the nurse document?
- A
Document only the patient's symptoms.
- B
Document the product and symptoms, but omit the timing and actions taken.
- C
Record that a reaction occurred without specifying the product or patient response.
- D
Record the product, timing, symptoms, actions, and response.
A suspected infusion reaction requires stopping the infusion, but IV access may still be needed. How should access be maintained?
- A
Flush the suspected infusion through the line before connecting another setup.
- B
Restart the suspected infusion at a lower rate to preserve access.
- C
Use a separate compatible setup as directed and do not flush the suspected infusion into the patient.
- D
Disconnect the line and leave it unused regardless of the patient's need for access.
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