Exam 5 Ch13

16問 • 3年前

問題一覧

1. A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. Which client is at greatest risk for dehydration?

c. A 76 year old who is cognitively impaired.

2. A nurse is caring for an older client who exhibits dehydration-induced confusion. Which intervention by the nurse is best?

b. Assess client further for fall risk.

3. After teaching a client who is being treated for dehydration, a nurse assesses the client’s understanding. Which statement indicates that the client correctly understood the teaching?

b. “I will weigh myself each morning before I eat or drink.”

4. A nurse is assessing clients on a medical-surgical unit. Which adult client does the nurse identify as being at greatest risk for insensible water loss?

b. Anxious client who has tachypnea.

5. A nurse is evaluating a client who is being treated for dehydration. Which assessment result does the nurse correlate with a therapeutic response to the treatment plan?

d. Decreased orthostatic changes when standing

6. After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the client’s understanding. Which food choice for lunch indicates that the client correctly understood the teaching?

d. Grilled chicken breast with glazed carrots

7. A nurse is assessing clients for fluid and electrolyte imbalances. Which client will the nurse assess first for potential hyponatremia?

a. A 34 year old who is NPO and receiving rapid intravenous D5W infusions.

8. A nurse teaches a client who is at risk for hyponatremia. Which statement does the nurse include in this client’s teaching?

c. “Call your primary health care provider for diarrhea.”

9. A nurse is caring for a client who has the following laboratory results: potassium 2.4 mEq/L (2.4 mmol/L), magnesium 1.8 mEq/L (0.74 mmol/L), calcium 8.5 mEq/L (2.13 mmol/L), and sodium 144 mEq/L (144 mmol/L). Which assessment does the nurse complete first?

a. Depth of respirations

10. A nurse cares for a client who has a serum potassium of 6.5 mEq/L (6.5 mmol/L) and is exhibiting cardiovascular changes. Which intervention will the nurse implement first?

c. Prepare to administer dextrose 20% and 10 units of regular insulin IV push.

11. The nurse is caring for a client who has fluid overload. What action by the nurse takes priority?

b. Assess the client’s lung sounds every 2 hours.

12. A nurse is assessing a client with hypokalemia, and notes that the client’s handgrip strength has diminished since the previous assessment 1 hour ago. What action does the nurse take first?

a. Assess the client’s respiratory rate, rhythm, and depth.

13. A new nurse is preparing to administer IV potassium to a client with hypokalemia. What action indicates the nurse needs to review this procedure?

c. Sets the IV pump to deliver 30 mEq of potassium an hour.

14. A nurse is caring for a client with hypocalcemia. Which action by the nurse shows poor understanding of this condition?

d. Administers bisphosphonates as prescribed.

15. A nurse is caring for a client who has a serum calcium level of 14 mg/dL (3.5 mmol/L). Which primary health care provider order does the nurse implement first?

b. Connect the client to a cardiac monitor.

16. A nurse is caring for an older adult client who is admitted with moderate dehydration. Which intervention will the nurse implement to prevent injury while in the hospital?

d. Dangle the client on the bedside before ambulating.

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4