Free NCLEX-RN Exam Braindumps (page: 135)

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A 2-month-old infant is receiving IV fluids with a volume control set. The nurse uses this type of tubing because it:

  1. Prevents administration of other drugs
  2. Prevents entry of air into tubing
  3. Prevents inadvertent administration of a large amount of fluids
  4. Prevents phlebitis

Answer(s): C

Explanation:

(A) A volume control set has a chamber that permits the administration of compatible drugs. (B) Air may enter a volume control set when tubing is not adequately purged. (C) A volume control set allows the nurse to control the amount of fluid administered over a set period. (D) Contamination of volume control set may cause phlebitis.



A 2-month-old infant is receiving IV fluids with a volume control set. The nurse uses this type of tubing because it:

  1. Prevents administration of other drugs
  2. Prevents entry of air into tubing
  3. Prevents inadvertent administration of a large amount of fluids
  4. Prevents phlebitis

Answer(s): C

Explanation:

(A) A volume control set has a chamber that permits the administration of compatible drugs. (B) Air may enter a volume control set when tubing is not adequately purged. (C) A volume control set allows the nurse to control the amount of fluid administered over a set period. (D) Contamination of volume control set may cause phlebitis.



A pregnant client experiences spontaneous rupture of membranes. The first nursing action is to:

  1. Assess the client's respirations
  2. Notify the physician
  3. Auscultate fetal heart rate
  4. Transfer to delivery suite

Answer(s): C

Explanation:

(A) Immediately following membrane rupture, the fetus is at risk for complications, not necessarily the mother. (B) The physician is notified after the nurse completes an assessment of the mother's and fetus's conditions. (C) Rupture of membranes facilitates fetal descent. A potential complication is cord prolapse, which is assessed by auscultating fetal heart rate. (D) Rupture of membranes does not necessarily indicate readiness to deliver.



A pregnant client experiences spontaneous rupture of membranes. The first nursing action is to:

  1. Assess the client's respirations
  2. Notify the physician
  3. Auscultate fetal heart rate
  4. Transfer to delivery suite

Answer(s): C

Explanation:

(A) Immediately following membrane rupture, the fetus is at risk for complications, not necessarily the mother. (B) The physician is notified after the nurse completes an assessment of the mother's and fetus's conditions. (C) Rupture of membranes facilitates fetal descent. A potential complication is cord prolapse, which is assessed by auscultating fetal heart rate. (D) Rupture of membranes does not necessarily indicate readiness to deliver.



Page 135 of 431



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