NUR-275 - Exam 1 - Quizzes to
Review Comprehensive Questions
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Solutions Graded A+
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A nurse is preparing to start an IV infusion of lactated Ringer's for a
client who sustained a burn injury. The client is prescribed 5,200 mL of
,fluid over the first 24 hr. How many mL/hr should the nurse set the
pump to infuse for the first 8 hr? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing
zero.) - Answer: 325ml/hr
(The nurse should infuse half of the total volume prescribed for 24 hr
for a client who has sustained a burn injury over the first 8 hr - SINCE
TIME OF BURN. Therefore, the nurse should complete the calculation
using half of 5,200 mL, which is 2,600 mL (divide 2600 by 8).)
A nurse is monitoring a client who was admitted with a severe burn
injury and is receiving IV fluid resuscitation therapy. The nurse should
identify a decrease in which of the following findings as an indication of
adequate fluid replacement?
A. urine output
B. HR
C. BP
D. Weight - Answer: B, HR
(When a client's circulating fluid volume is low, the heart rate increases
to maintain adequate blood pressure. Therefore, the nurse should
identify a decrease in heart rate as in indication of adequate fluid
replacement. Fluid resuscitation is provided to prevent hypovolemia;
therefore, the nurse should identify a drop in blood pressure as a need
, for additional fluid. Fluid resuscitation is provided to prevent
hypovolemia; therefore, the nurse should identify a drop in urine
output as a need for additional fluid. Fluid resuscitation is provided to
prevent hypovolemia, and 1 L of water weighs about 1 kg (2.2 lb);
therefore, the nurse should identify a drop in weight as a need for
additional fluid.)
A nurse is caring for a client who has a central venous catheter and
suddenly develops chest pain, dyspnea, dizziness, and tachycardia. The
nurse suspects air embolism and clamps the catheter immediately.
What other action should the nurse take at this time?
A. Remove the catheter
B. Prepare for chest tube insertion
C. Replace the infusion system
D. Place the client on his left side in Trendelenburg position - Answer:
D, L side Trendelenburg for air emboli
(This position helps trap the air in the apex of the right atrium rather
than allowing it to enter the right ventricle and move to the pulmonary
arterial system.)
(A = This is an intervention for pneumothorax, not air embolism.)
(B = This is an intervention for catheter rupture, not air embolism)
Review Comprehensive Questions
(Frequently Tested) and Complete
Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic Support
Helping Students Achieve Academic Excellence
A nurse is preparing to start an IV infusion of lactated Ringer's for a
client who sustained a burn injury. The client is prescribed 5,200 mL of
,fluid over the first 24 hr. How many mL/hr should the nurse set the
pump to infuse for the first 8 hr? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing
zero.) - Answer: 325ml/hr
(The nurse should infuse half of the total volume prescribed for 24 hr
for a client who has sustained a burn injury over the first 8 hr - SINCE
TIME OF BURN. Therefore, the nurse should complete the calculation
using half of 5,200 mL, which is 2,600 mL (divide 2600 by 8).)
A nurse is monitoring a client who was admitted with a severe burn
injury and is receiving IV fluid resuscitation therapy. The nurse should
identify a decrease in which of the following findings as an indication of
adequate fluid replacement?
A. urine output
B. HR
C. BP
D. Weight - Answer: B, HR
(When a client's circulating fluid volume is low, the heart rate increases
to maintain adequate blood pressure. Therefore, the nurse should
identify a decrease in heart rate as in indication of adequate fluid
replacement. Fluid resuscitation is provided to prevent hypovolemia;
therefore, the nurse should identify a drop in blood pressure as a need
, for additional fluid. Fluid resuscitation is provided to prevent
hypovolemia; therefore, the nurse should identify a drop in urine
output as a need for additional fluid. Fluid resuscitation is provided to
prevent hypovolemia, and 1 L of water weighs about 1 kg (2.2 lb);
therefore, the nurse should identify a drop in weight as a need for
additional fluid.)
A nurse is caring for a client who has a central venous catheter and
suddenly develops chest pain, dyspnea, dizziness, and tachycardia. The
nurse suspects air embolism and clamps the catheter immediately.
What other action should the nurse take at this time?
A. Remove the catheter
B. Prepare for chest tube insertion
C. Replace the infusion system
D. Place the client on his left side in Trendelenburg position - Answer:
D, L side Trendelenburg for air emboli
(This position helps trap the air in the apex of the right atrium rather
than allowing it to enter the right ventricle and move to the pulmonary
arterial system.)
(A = This is an intervention for pneumothorax, not air embolism.)
(B = This is an intervention for catheter rupture, not air embolism)
