1. The nurse was reviewing client’s lab and discovers the clients serum potassium level is 6.2.
Which of the following interventions should the nurse
... [Show More] anticipate?
▪ Administer sodium polytheosphonate
2. A nurse is caring for a patient who has a prescription for a non-fluid diet. Which of the following
food is permitted in this diet?
▪ Hard Candy
3. The nurse is assessing a client who has fluid overload. Which of the following finding should the
nurse expect? Select all that apply
▪ Increased Blood Pressure
▪ Decreased Heart Rate
▪ Increased Respiratory Rate
4. A is admitting a client who is dehydrated. Which of the following BUN lab values should the
nurse expect the client to have upon admission?
▪ 35
5. A nurse is reviewing the lab data of a client who has acute pancreatitis. The nurse will expect
the elevation of which?
▪ Amylase
6. A nurse is discussing the food choices of a client who is recovering from exacerbation of
inflammation bowel disease and is to start a low lactose diet. Which if the following foods is the
best choice for the client?
▪ Soy Milk
7. A nurse is providing discharge teaching to a client who has Asthma and a new prescription for
chromolyn and albuterol both by nebulizer. Which if the following statement by the client
indicates the need for further teaching?
▪ Chromolyn
8. A nurse is caring for a client who is in acute respiratory distress (ARDS) and requires mechanical
ventilation. The client receives prescription for Pavulon (Pancuronium). The nurse should
recognize the purpose of this medication is for which of the following purposes?
▪ To suppress respiratory effort
9. A nurse is assessing a client who has a fractured femur. The nurse obtains vital signs on
admission and again in two hours. Which if the following changes in assessment should indicate
to the nurse that the client could be developing serious complication?
▪ Increased respiratory rate from 18-44
10. The nurse is caring for a toddler who has acute laryngeal bronchitis and has been place in a cool
LGTB Temp. Which if the following findings indicates the treatment has been effective
▪ Decreased stridor
11. The nurse is caring for a post-operative patient who has chest tube connected to suction and a water
sealed drainage system. Which of the following indicates to the nurse that the chest tube is functioning
properly?
▪ Fluctuating of the fluid levels within the water chamber
12. A nurse is auscultating a client’s lungs and identifies crackles in the left lower lobes. Which of the
following interventions should the nurse take?
▪ Repeat auscultation13. The nurse is caring for client who has chest tube placed in chest tube drainage. Which of the following
findings should indicate to the nurse that the client’s lungs have re-expanded?
▪ No fluctuations in the water seal chamber
14. A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the
nurse should use which of the following findings to determine if the procedure was effective
with?
▪ Clear breath sounds [Show Less]