A nurse is caring for a client who has heart failure and a potassium level of 24 mEg/L The nurse should identify which of the following medications as the
... [Show More] cause of the client's low potassium level?
a. Nitroglycerin
b. Metoprolol
c. Furosemide
d. Spironolactone
A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse?
a. Potassium 3.3 mEg/L X
b. pH 7.45
c. PaCO2 50 mm Hg
d. HC03- 30 mEg/L
An emergency department (ED) nurse is preparing to transfer a client to the trauma intensive care unit. Which information would the nurse include in the nurse-to-nurse hand-off report? (Select all that apply.)
a Isolation Precautions
b. Immunizations
c. Diagnostic Test Results
d. Mechanism of Injury
A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first?
a. Discuss respite care with the client's family.
b. Provide the client with a crisis hotline number
c. Document the bruises in the client's chart
d. Report the findings to a supervisor.
A nurse is reviewing a client's laboratory values and discovers the client has a serum potassium of 6.2 mEg/L. Which of the following interventions should the nurse anticipate?
a. Initiating an IV potassium infusion.
b. Encouraging the client to eat bananas
c. Administering sodium polystyrene sulfonate
d. Administering a potassium-sparing diuretic.
A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk fo metabolic acidosis?
a. A client who is taking a thiazide diuretic X
b. A client who is vomiting
c. A client who has salicylate intoxication
d. A client who has diarrhea
A nurse is preparing to administer potassium chloride elixir 40 mEg divided into 2 equal doses every 12 hr. Available is 6.7 mEg/5 mL How many ml should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
a. 15 mL
b. 30 ml
c. 4 mL
d. 10 mL
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PIC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take
first?
a. Remove the PIC line
b. Measure the circumference of both upper arms.
c. Notify the provider who inserted the PIC fine.
d. Apply a cold pack to the client's upper arm.
A nurse is caring for a client who is postoperative and whose respirations are shallow and 9/min. Which of the following acid-based imbalances should the nurse identity the client as being at risk for developing initially?
a. Respiratory alkalosis
b. Metabolic alkalosis
c. Metabolic acidosis
d. Respiratory acidosis
A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluild volume deficit?
a. The client who has gastroenteritis and is febrile
b. The client who has been NO since midnight for endoscopy.
c. The client who has left-sided heart failure and has à brain naturetic peptide (BP) level of 600 pg/mL
d. The client who has end-stage renal failure and is scheduled for dialysis today
A nurse is caring for four clients on a medical-surgical unit. Which of the following clients should the nurse assess first?
a. A client who has a nasogastric tube for decompression and the gastric aspirate is green with a ph of 5.3 X
b. A client who had an indwelling urinary catheter removed 5 hr ago and has not voided
c. A client who has COPD and the capillary refill time on both hands is 4 seconds
d. A client who has late-stage cirrhosis and whose breath has a fruity odor
A nurse is assessing a client who returned to the unit 4 hr ago after a partial colectomy. Which of the following findings should the nurse attend to first?
a. Sa02 of 95%
b. Report of severe incisional pain
c. A moderately saturated dressing
d. A distended bladder [Show Less]