Practice Questions Exam 2 NUR 113 With
Complete Solutions
You are caring for a new client on your unit who is third-spacing fluid. You know
| | | | | | | | | | | | | | | |
to assess for what type of edema? - CORRECT ANSWER✔✔-Generalized
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The nurse is caring for a client with a serum sodium concentration of 113 mEq/L
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(113 mmol/L). The nurse should monitor the client for the development of which
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condition? - CORRECT ANSWER✔✔-Confusion | | |
An elderly client takes 40 mg of furosemide twice a day. Which electrolyte
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imbalance is the most serious adverse effect of diuretic use? - CORRECT
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ANSWER✔✔-Hypokalemia
A priority nursing intervention for a client with hypervolemia involves which of
| | | | | | | | | | | |
the following? - CORRECT ANSWER✔✔-Monitoring respiratory status for signs
| | | | | | | | |
and symptoms of pulmonary complications.
| | | |
A client with a suspected overdose of an unknown drug is admitted to the
| | | | | | | | | | | | | |
emergency department. Arterial blood gas values indicate respiratory acidosis.
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What should the nurse do first? - CORRECT ANSWER✔✔-Prepare to assist with
| | | | | | | | | | | |
ventilation.
A client is taking spironolactone to control hypertension. The client's serum
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potassium level is 6 mEq/L. What is the nurse's priority during assessment?
| | | | | | | | | | |
,bowel sounds
|
respiratory rate |
electrocardiogram (ECG) results | |
neuromuscular function - CORRECT ANSWER✔✔-electrocardiogram (ECG) results
| | | | | |
A client has a serum calcium level of 7.2 mg/dl (1.8 mmol/L). During the physical
| | | | | | | | | | | | | | |
examination, the nurse expects to assess:| | | | |
Goodell's sign. |
Homans' sign. |
Hegar's sign. |
Trousseau's sign. - CORRECT ANSWER✔✔-Trousseau's sign
| | | | |
A client admitted with acute anxiety has the following arterial blood gas (ABG)
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values: pH, 7.55; partial pressure of arterial oxygen (PaO2), 90 mm Hg; partial
| | | | | | | | | | | | |
pressure of arterial carbon dioxide (PaCO2), 27 mm Hg; and bicarbonate (HCO3-),
| | | | | | | | | | | |
24 mEq/L. Based on these values, the nurse suspects:
| | | | | | | |
metabolic acidosis. |
metabolic alkalosis. |
respiratory alkalosis. |
respiratory acidosis. - CORRECT ANSWER✔✔-respiratory alkalosis
| | | | |
, A client comes to the emergency department with status asthmaticus. His
| | | | | | | | | | |
respiratory rate is 48 breaths/minute, and he is wheezing. An arterial blood gas
| | | | | | | | | | | | |
analysis reveals a pH of 7.52, a partial pressure of arterial carbon dioxide (PaCO2)
| | | | | | | | | | | | | |
of 30 mm Hg, PaO2 of 70 mm Hg, and bicarbonate (HCO3??') of 26 mEq/L. What
| | | | | | | | | | | | | | | |
disorder is indicated by these findings? - CORRECT ANSWER✔✔-Respiratory
| | | | | | | | |
alkalosis
Below which serum sodium concentration might convulsions or coma occur?
| | | | | | | | |
135 mEq/L (135 mmol/L)
| | |
142 mEq/L (142 mmol/L)
| | |
145 mEq/L (145 mmol/L)
| | |
140 mEq/L (140 mmol/L) - CORRECT ANSWER✔✔-135 mEq/L (135 mmol/L)
| | | | | | | | |
Which is an insensible mechanism of fluid loss?
| | | | | | |
Nausea
Bowel elimination|
Breathing
Urination - CORRECT ANSWER✔✔-Breathing
| | |
The calcium concentration in the blood is regulated by which mechanism?
| | | | | | | | | |
Adrenal gland |
Thyroid hormone (TH) | |
Complete Solutions
You are caring for a new client on your unit who is third-spacing fluid. You know
| | | | | | | | | | | | | | | |
to assess for what type of edema? - CORRECT ANSWER✔✔-Generalized
| | | | | | | | |
The nurse is caring for a client with a serum sodium concentration of 113 mEq/L
| | | | | | | | | | | | | | |
(113 mmol/L). The nurse should monitor the client for the development of which
| | | | | | | | | | | | |
condition? - CORRECT ANSWER✔✔-Confusion | | |
An elderly client takes 40 mg of furosemide twice a day. Which electrolyte
| | | | | | | | | | | | |
imbalance is the most serious adverse effect of diuretic use? - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Hypokalemia
A priority nursing intervention for a client with hypervolemia involves which of
| | | | | | | | | | | |
the following? - CORRECT ANSWER✔✔-Monitoring respiratory status for signs
| | | | | | | | |
and symptoms of pulmonary complications.
| | | |
A client with a suspected overdose of an unknown drug is admitted to the
| | | | | | | | | | | | | |
emergency department. Arterial blood gas values indicate respiratory acidosis.
| | | | | | | | |
What should the nurse do first? - CORRECT ANSWER✔✔-Prepare to assist with
| | | | | | | | | | | |
ventilation.
A client is taking spironolactone to control hypertension. The client's serum
| | | | | | | | | | |
potassium level is 6 mEq/L. What is the nurse's priority during assessment?
| | | | | | | | | | |
,bowel sounds
|
respiratory rate |
electrocardiogram (ECG) results | |
neuromuscular function - CORRECT ANSWER✔✔-electrocardiogram (ECG) results
| | | | | |
A client has a serum calcium level of 7.2 mg/dl (1.8 mmol/L). During the physical
| | | | | | | | | | | | | | |
examination, the nurse expects to assess:| | | | |
Goodell's sign. |
Homans' sign. |
Hegar's sign. |
Trousseau's sign. - CORRECT ANSWER✔✔-Trousseau's sign
| | | | |
A client admitted with acute anxiety has the following arterial blood gas (ABG)
| | | | | | | | | | | | |
values: pH, 7.55; partial pressure of arterial oxygen (PaO2), 90 mm Hg; partial
| | | | | | | | | | | | |
pressure of arterial carbon dioxide (PaCO2), 27 mm Hg; and bicarbonate (HCO3-),
| | | | | | | | | | | |
24 mEq/L. Based on these values, the nurse suspects:
| | | | | | | |
metabolic acidosis. |
metabolic alkalosis. |
respiratory alkalosis. |
respiratory acidosis. - CORRECT ANSWER✔✔-respiratory alkalosis
| | | | |
, A client comes to the emergency department with status asthmaticus. His
| | | | | | | | | | |
respiratory rate is 48 breaths/minute, and he is wheezing. An arterial blood gas
| | | | | | | | | | | | |
analysis reveals a pH of 7.52, a partial pressure of arterial carbon dioxide (PaCO2)
| | | | | | | | | | | | | |
of 30 mm Hg, PaO2 of 70 mm Hg, and bicarbonate (HCO3??') of 26 mEq/L. What
| | | | | | | | | | | | | | | |
disorder is indicated by these findings? - CORRECT ANSWER✔✔-Respiratory
| | | | | | | | |
alkalosis
Below which serum sodium concentration might convulsions or coma occur?
| | | | | | | | |
135 mEq/L (135 mmol/L)
| | |
142 mEq/L (142 mmol/L)
| | |
145 mEq/L (145 mmol/L)
| | |
140 mEq/L (140 mmol/L) - CORRECT ANSWER✔✔-135 mEq/L (135 mmol/L)
| | | | | | | | |
Which is an insensible mechanism of fluid loss?
| | | | | | |
Nausea
Bowel elimination|
Breathing
Urination - CORRECT ANSWER✔✔-Breathing
| | |
The calcium concentration in the blood is regulated by which mechanism?
| | | | | | | | | |
Adrenal gland |
Thyroid hormone (TH) | |