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Question 1

A client receiving IV potassium supplementation complains of burning at the insertion site. What is the nurse's priority action?

Stop the infusion
Apply a warm compress
Slow the rate
Change the tubing

Rationale: Burning at an IV site can signal infiltration or phlebitis. The safest first step is to stop the infusion and assess the site.

Question 2

Which finding in a patient with heart failure most urgently requires the nurse to notify the provider?

Weight gain of 1 lb in 24 hours
Bilateral crackles and severe shortness of breath
Mild ankle edema at the end of the day
A dry, nonproductive cough

Rationale: Bilateral crackles with severe dyspnea suggest acute pulmonary edema, a life-threatening complication of heart failure.

Question 3

A patient is prescribed metoprolol. Which teaching point is most important?

Take with a high-fat meal
Never stop the medication abruptly
Double the dose if a dose is missed
Expect persistent tachycardia

Rationale: Abruptly stopping a beta-blocker can cause rebound hypertension, tachycardia, and angina. Taper only under provider direction.

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