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    Ati lpn fa25 paediatrics proctored exam

    A nurse is assessing a client who is receiving IV fluids and notices the bag of fluids is almost empty. Which of the following is the best action for the nurse to take?

    Explanation & Rationale

    A. Prepare and hang a new bag of IV fluids before the current bag runs dry is correct because allowing an IV to run completely dry can cause air embolism, interruption of therapy, and potential vein irritation. Replacing the bag proactively ensures continuous therapy, maintains prescribed fluid and medication delivery, and prevents complications. B. Allow the bag to finish infusing completely before replacing it is incorrect because running an IV bag dry increases the risk of air entering the line (air embolism) and disrupts therapy. Continuous monitoring and timely replacement are critical for patient safety. C. Clamp the IV tubing and stop the infusion until the provider is notified is incorrect because stopping the IV unnecessarily interrupts therapy and may cause fluid or medication delays. Notification of the provider is not required for routine bag replacement if the infusion is prescribed and the nurse is following standard protocol. D. Decrease the infusion rate to make the current bag last longer is incorrect because adjusting the rate without an order may result in underhydration or subtherapeutic medication delivery. IV rates should always follow the prescribed order unless otherwise directed by a provider. Summary: The safest practice when an IV bag is almost empty is to prepare and hang a new bag before the current one runs dry, ensuring uninterrupted therapy and preventing complications, making A the correct choice.

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