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    Hesi lpn exit proctored examQuestion 88
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    Hesi lpn exit proctored exam

    An older client with a continuous peripheral infusion in the antecubital fossae site is reporting that the infusion pump keeps beeping. The practical nurse (PN) determines the pump is displaying a digital alarm reading, "occlusion." Which client assessment should the PN perform first?

    Explanation & Rationale

    A. Check for swelling underneath the elbow: Swelling suggests infiltration or extravasation, which is a common cause of occlusion alarms and must be assessed immediately. B. Measure fluid intake and output: Not directly related to resolving the occlusion alarm. C. Compare the radial pulse volume bilaterally: Not relevant to the occlusion alarm. D. Assess range of motion of the joint: May identify kinking from joint movement but swelling should be checked first.

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