A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment?
A. A
... [Show More] client admitted with pneumonia with a fever of 100° F (37.8°C) and some diaphoresis
B. A client with congestive heart failure with clear lung sounds on the previous shift
C. A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema Correct
D. A client undergoing long-term corticosteroid therapy with mild bruising on the anterior surfaces of the arms
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 9476924021
A client with gastroenteritis who has been vomiting and has diarrhea is admitted to the hospital with a diagnosis of dehydration. For which clinical manifestations that correlate with this fluid imbalance would the nurse assess the client? Select all that apply.
A. Decreased pulse
B. Decreased urine output Correct
C. Increased blood pressure
D. Increased respiratory rate Correct
E. Decreased respiratory depth
Awarded 2.0 points out of 2.0 possible points.
3. 3.ID: 9476934084
A nurse is reviewing the medical records of the clients to whom she is assigned on the 7 am–7 pm shift. Which client will the nurse monitor most closely for excessive fluid volume?
A. A 48-year-old client receiving diuretics to treat hypertension
B. A 35-year old client who is vomiting undigested food after eating
C. An 85-year-old client receiving intravenous (IV) therapy at arate of 100 mL/hr Correct
D. A 65-year-old client with a nasogastric tube attached to low suction following partial gastrectomy
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 9476926416
A nurse is caring for a client who is being treated for congestive heart failure and has been assigned a nursing diagnosis of excessive fluid volume. Which assessment finding causes the nurse to determine that the client’s condition has improved?
A. Dyspnea
B. 1+ edema in the legs
C. Moist crackles in the lower lobes of the lungs
D. Weight loss of 4 lb (1.8 kg) in 24 hours
Correct
Awarded 1.0 points out of 1.0 possible points.
5. 5.ID: 9476930486
A nurse notes that a client has ST-segment depression on the electrocardiogram (ECG) monitor. With which serum potassium reading does the nurse associate this finding?
A. 3.1 mEq/L (3.1 mmol/L) Correct
B. 4.2 mEq/L (4.2 mmol/L)
C. 4.5 mEq/L (4.5 mmol/L)
D. 5.4 mEq/L (5.4 mmol/L)
Awarded 1.0 points out of 1.0 possible points.
6. 6.ID: 9476924035
A healthcare provider writes a prescription for the administration of intravenous
(IV) potassium chloride to a client with hypokalemia. What does the nurse plan to do when preparing and administering this medication?
A. Insert a Foley catheter in the client
B. Prepare the client for insertion of a central IV line
C. Administer the medication with the use of a macrodrip IV tubing set
D. Ensure that the medication is diluted in an appropriate amountof normal saline solution Correct [Show Less]