NUR 105 WK8 exam Questions and Answers
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1.Which nursing assessment would cause the RN to collaborate with the
healthcare provider immediately
... [Show More] when caring for a client receiving IV
infusion of D5/0.45% sodium chloride with 40mEq ofpotassium (KCl)?
Urninary output
of
25mL/hrRational
pg1423
2. A patient has left side weakness and requires one person to assist to
ambulate.The RN evaluates theUAP as appropriate assisting this patient when
taking which position during ambulation?
On the leftside of the patient
3.The parent of a 4 year old girl is concerned the child awakens and screams
about20minutes after goingto sleep. Which response would be appropriate for
the RN to make?
Leave a night light on and sit with her speaking softly for 30 minutes aftershe
goesto bed.
4.The US department of health and human services has published physical
guidelines for Americans of allage groups and abilities. On which of the
followingguidelines would the RN base the information to develop a resource
for teachingthe exercise needed to an older adult?
Be as physical active astheir abilities allow with guidance from their provider.
5. The RN in the pediatric office is preparing instructions for the single parent
ofa 4 year old who hasbeen continuously ill for 3 days and is now recovering.
What should be considered when providing teaching?
The parent may no be clearly comprehending the information that is provided
because of fatigue.
6. The RN is planning interventions for a client with the NANDA-I nursing
diagnosis of Deficient fluid volume. Which of the following interventions
couldthe RN delegate to the UAP to improve the patientsfluid status?
Encourage oral fluids astolerated
7. The order reads: 5% dextrose in 0.45% sodium chloride (D5W/0.45%NS)
toinfuse at 100mL per hour.The IV tubing drop factor reads; 10gtt
At what rate, in drops per minute, will the RN regulate the
intravenous solution?Whole numbers= 17
8. Which questions would the RN ask the patient when gathering assessment
data related to mobility?Do you have any health problems that interefere
withyour acitivity?
Have there been any recent changes in you daily
level of activity?What types of physical activities
make youtired?
Are there obstaclesin your house that make it hard for you to get around?
9. When caring for a client, the RN notes that fluid intake over the last 24
hrswas 1375,mL, muscus membranes and lips are dry and the skin tugor is
decreased. Which other assessment data would beobtained?
Orthostatic blood pressure.
10. A patient was admitted to the intensive care unit (ICU) 6 days ago as
aresult of multiple injuriessustained in a car crash. The family is
concernedbecause the patient is demonstrating psychotic behavior. The
RN forms aresponse based on which most likely cause of the behavior?
Prolonged REM sleep deprevation
11. The RN is evaluating the student nurse performing passive range of motion
foran older adult patient.As the right arm is adducted, the patient reports,
“That arm is stiff in the morning.” What feedback would the RN provide to the
studentnurse?
Slowly continue the adduction halting when resistance is met.
12. A patient with a history of restless leg syndrome (RLS) states “I am so tired
allthe time. It has been increasingly difficult to fall asleep at night because I
get a crawling sensation in my legs at night.” Whichquestion would be relevant
for theRN to ask?
Have you ever had your iron level tested?
13. The RN is providing care to the client with hypernatremia. Which
orderwould cause the RN tocollabrote with the health care provider?
1000mL fluid restriction
14. The RN reviews lab results and notesthe following: [Show Less]