The Nurse Is Caring for a Patient Receiving a Continuous

question 17

Multiple Choice

The nurse is caring for a patient receiving a continuous IV infusion who develops sudden dyspnea, chest pain, and change in mental status. Which interventions should the nurse implement? (Select all that apply.)

• A)Notify the health care provider (HCP).
• B)Place the patient in high-Fowler position.
• C)Administer oxygen as ordered.
• D)Monitor vital signs.
• E)Culture the IV site.

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Definitions:

Nerve Impulses

Electrical signals that travel along neurons, facilitating communication throughout the nervous system.

Standard Deviation

A statistical measure that quantifies the amount of variation or dispersion of a set of data values.

Variance

A measure of the dispersion representing the average of the squared differences from the mean in a data set.

Involuntary Reflex Responses

Automatic, rapid responses of the nervous system to a stimulus that do not require conscious thought, protecting the body from harm.