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Prioritization And First Action Practice Test
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Q1
A nurse is caring for a 59-year-old with a central venous catheter receiving total parenteral nutrition (TPN). Assessment: temperature 39.0°C (102.2°F), HR 122, BP 92/54, chills, and the insertion site is erythematous with drainage. What is the nurse's FIRST action?
A nurse is caring for a 59-year-old with a central venous catheter receiving total parenteral nutrition (TPN). Assessment: temperature 39.0°C (102.2°F), HR 122, BP 92/54, chills, and the insertion site is erythematous with drainage. What is the nurse's FIRST action?