RN Exit v2 test Questions and 100% Correct Answers | Professor Verified
The nurse assumes care of a postoperative adult client with type 2
... [Show More] diabetes
mellitus and learns that the client has a current blood glucose level of 720
mg/dL. When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate ------Correct Answer-----A. Assess for
signs of fluid volume deficit
A male client tells the nurse that he is concerned that he may have a
stomach ulcer, because he is experiencing heartburn and dull gnawing pain
that is relieved when he eats. Which is the best response by the nurse?
A. Encourage the client to obtain a complete physical exam, since these
symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux, since ulcer
pain is not relieved with food
C. Instruct the client that these mild symptoms can generally be controlled
with changes in his diet
D. Advise the client that he needs to seek immediate medical evaluation
and treatment of these symptoms ------Correct Answer-----A. Encourage the
client to obtain a complete physical exam, since these symptoms are
consistent with an ulcer
A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving
Lactated Ringer's solution at 75 mL/hr IV. One hour after admission to the
unit, the nurse notes 300mL of blood in the suction canister, the client's
heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In
addition to reporting the findings to the surgeon, which action should the
nurse implement first?
A. Measure and document the client's urinary output
B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution ------Correct
Answer-----D. Increase the infusion rate of Lactated Ringer's solution [Show Less]