NR324 EXAM 1 QUESTIONS AND
VERIFIED ANSWER; 100% CORRECT
A client has some partial blockage in a blood vessel. Which
consequence is most likely due to this blockage? - correct
answer- The blood vessel will collapse
Arterial pH is an indirect measurement of - correct answer-
hydrogen ion concentration. It represents balance between
production & elimination of carbon dioxide from the lungs and
bicarbonate from the kidneys
Arterial pH is an indirect measurement of ____________ ion
concentration. It represents balance b/n production and
elimination of _________________ from the lungs and
____________________ from the kidneys - correct answer-
hydrogen; carbon dioxide; bicarbonate
Describe how pitting edema is assessed - correct answer-
Apply pressure to the swollen area & check to see if indentation
is left
0+ no edema
1+ mild pitting edema - 2 mm depressions disappear rapidly
,2+ moderate pitting edema - 4 mm depressions disappears in
10-15 seconds
3+ moderately severe pitting edema - 6 mm depression may last
longer than 1 minute
4+ severe pitting edema - 8 mm depression may last longer than
2 minutes
Do not administer KCl if urine output is - correct answer-
less than 0.5 mL/kg per hour
During client education, a client demonstrates how they
measure BP at home. The nurse notices that the client's arm is
not supported and hangs straight down (below the heart) during
the measurement. What would the nurse anticipate the BP to
be? - correct answer- Increased
Fluid imbalance cardiovascular interventions - correct
answer- Monitor BP, HR, & CO
Check 12-lead ECG
Check B-type natriuretic Peptide (BNP) level
Administer diuretics as rx's and monitor electrolytes before and
after administration
, Administer IV fluids if blood or fluid is lost from intravascular
compartment
Fluid imbalance genitourinary interventions - correct
answer- Monitor I&Os
Monitor BUN & creatinine
Monitor ADH level, serum or urine osmolality
Administer diuretics as RX's unless client has acute kidney injury
Fluid imbalance GI interventions - correct answer-
Monitor intake & output
Measure abdominal girth
Check liver function (AST, ALT, & total bilirubin)
Use certain types of diuretics or anti-diarrheals
Assist with paracentesis
Fluid imbalance neuro interventions - correct answer-
Monitor LOC
Monitor vitals & labs for signs of imbalance
Take seizure precautions
Administer anti-seizure meds prn
VERIFIED ANSWER; 100% CORRECT
A client has some partial blockage in a blood vessel. Which
consequence is most likely due to this blockage? - correct
answer- The blood vessel will collapse
Arterial pH is an indirect measurement of - correct answer-
hydrogen ion concentration. It represents balance between
production & elimination of carbon dioxide from the lungs and
bicarbonate from the kidneys
Arterial pH is an indirect measurement of ____________ ion
concentration. It represents balance b/n production and
elimination of _________________ from the lungs and
____________________ from the kidneys - correct answer-
hydrogen; carbon dioxide; bicarbonate
Describe how pitting edema is assessed - correct answer-
Apply pressure to the swollen area & check to see if indentation
is left
0+ no edema
1+ mild pitting edema - 2 mm depressions disappear rapidly
,2+ moderate pitting edema - 4 mm depressions disappears in
10-15 seconds
3+ moderately severe pitting edema - 6 mm depression may last
longer than 1 minute
4+ severe pitting edema - 8 mm depression may last longer than
2 minutes
Do not administer KCl if urine output is - correct answer-
less than 0.5 mL/kg per hour
During client education, a client demonstrates how they
measure BP at home. The nurse notices that the client's arm is
not supported and hangs straight down (below the heart) during
the measurement. What would the nurse anticipate the BP to
be? - correct answer- Increased
Fluid imbalance cardiovascular interventions - correct
answer- Monitor BP, HR, & CO
Check 12-lead ECG
Check B-type natriuretic Peptide (BNP) level
Administer diuretics as rx's and monitor electrolytes before and
after administration
, Administer IV fluids if blood or fluid is lost from intravascular
compartment
Fluid imbalance genitourinary interventions - correct
answer- Monitor I&Os
Monitor BUN & creatinine
Monitor ADH level, serum or urine osmolality
Administer diuretics as RX's unless client has acute kidney injury
Fluid imbalance GI interventions - correct answer-
Monitor intake & output
Measure abdominal girth
Check liver function (AST, ALT, & total bilirubin)
Use certain types of diuretics or anti-diarrheals
Assist with paracentesis
Fluid imbalance neuro interventions - correct answer-
Monitor LOC
Monitor vitals & labs for signs of imbalance
Take seizure precautions
Administer anti-seizure meds prn
