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A Nurse Is Admitting a Client Transferred from Another Facility

Question 6

Multiple Choice

A nurse is admitting a client transferred from another facility. On assessment, the nurse notices the epidural IV tubing is attached to a bag of dextrose-containing IV fluid and the IV line is connected to an epidural pump containing morphine. What actions by the nurse take priority? (Select all that apply.)


A) Call the Rapid Response Team.
B) Turn both medications off.
C) Complete a variance report.
D) Conduct a full head-to-toe assessment.
E) Assess respiratory status.

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