EXAM
FOUNDATIONS OF PROFESSIONAL
NURSING: CASE STUDIES QUESTIONS
AND ANSWERS 2024 GRADED A+
Fluid Balance Case Study (exam 3)--Since Clara has a fluid volume deficit, the nurse
anticipates a decrease in which vital sign when Clara changes postiiton? - -blood
pressure
-The nurse plans to assess Clara for orthostatic vital sign changes. What action will the
nurse take first? - -Position Clara in a supine position
-The nurse takes the first blood pressure measurement. After recording the first blood
pressure measurement, what action will the nurse take? - -Count the client's radial
pulse rate
-In addition to obtaining Clara's vital signs, the nurse performs additional assessments.
For ongoing evaluation of Clara's fluid volume status, it is most important to obtain
which assessment data? - -Body weight
-The nurse continues to assess the client and observes that Clara's skin tents when a
fold of skin over her sternum is pinched. What action should the nurse implement? - -
Document the presence of inelastic skin turgor
-Clara's daughter reports that her mother usually weighs about 137 lbs. and is 5 feet, 3
inches in height. The nurse weighs Clara and obtains a measurement of 60 kg. The
nurse explains to Clara's daughter that Clara has lost approximately how many pounds?
- -5 lbs
, 60x2.2 lbs=132 lbs
137-132=5
-The nurse discusses factors that contributed to Clara's fluid volume deficit with Clara
and her daughter. Which problem often occurs in the elderly and may have contributed
to the fluid volume deficit Clara is experiencing? - -Decreased hepatic blood flow
-The nurse is aware that the elderly often experience an increase in the amount of free,
unbound drug molecules, which has the potential to increase the pharmacological
effects of the drug. Which lab test will the nurse monitor to determine if this may be a
factor contributing to Clara's problem? - -serum protein= drug molecules may be
distributed through the body bound to plasma protein molecules.
-The nurse starts an intravenous line to administer fluids. The prescription states, "3%
Normal Saline to infuse at 100 ml/hour." The client's most recent serum sodium level is
135 mEq/L. What action should the nurse take? - -obtain appropriante IV fluid
prescription
-A short while later, a prescription for 0.9% Normal Saline at 100 ml/hour is received.
Clara's primary nurse is at lunch, so another nurse hangs the solution. When checking
Clara upon returning from lunch, the primary nurse observes that a solution of 5%
Dextrose and 0.9% Normal Saline is infusing at 125 ml/hour. What action should the
primary nurse implement? - -Change the currently infusing solution to 0.9% Normal
Saline and change the rate to 100 ml/hour.
-After hanging the correct IV solution at the correct rate of infusion, the nurse discusses
the error with the nurse who hung the first IV solution. Together, the nurses complete a
variance (incident) report. What additional action should the primary nurse take? - -
Notify the healthcare provider of the error in treatment that occurred.
FOUNDATIONS OF PROFESSIONAL
NURSING: CASE STUDIES QUESTIONS
AND ANSWERS 2024 GRADED A+
Fluid Balance Case Study (exam 3)--Since Clara has a fluid volume deficit, the nurse
anticipates a decrease in which vital sign when Clara changes postiiton? - -blood
pressure
-The nurse plans to assess Clara for orthostatic vital sign changes. What action will the
nurse take first? - -Position Clara in a supine position
-The nurse takes the first blood pressure measurement. After recording the first blood
pressure measurement, what action will the nurse take? - -Count the client's radial
pulse rate
-In addition to obtaining Clara's vital signs, the nurse performs additional assessments.
For ongoing evaluation of Clara's fluid volume status, it is most important to obtain
which assessment data? - -Body weight
-The nurse continues to assess the client and observes that Clara's skin tents when a
fold of skin over her sternum is pinched. What action should the nurse implement? - -
Document the presence of inelastic skin turgor
-Clara's daughter reports that her mother usually weighs about 137 lbs. and is 5 feet, 3
inches in height. The nurse weighs Clara and obtains a measurement of 60 kg. The
nurse explains to Clara's daughter that Clara has lost approximately how many pounds?
- -5 lbs
, 60x2.2 lbs=132 lbs
137-132=5
-The nurse discusses factors that contributed to Clara's fluid volume deficit with Clara
and her daughter. Which problem often occurs in the elderly and may have contributed
to the fluid volume deficit Clara is experiencing? - -Decreased hepatic blood flow
-The nurse is aware that the elderly often experience an increase in the amount of free,
unbound drug molecules, which has the potential to increase the pharmacological
effects of the drug. Which lab test will the nurse monitor to determine if this may be a
factor contributing to Clara's problem? - -serum protein= drug molecules may be
distributed through the body bound to plasma protein molecules.
-The nurse starts an intravenous line to administer fluids. The prescription states, "3%
Normal Saline to infuse at 100 ml/hour." The client's most recent serum sodium level is
135 mEq/L. What action should the nurse take? - -obtain appropriante IV fluid
prescription
-A short while later, a prescription for 0.9% Normal Saline at 100 ml/hour is received.
Clara's primary nurse is at lunch, so another nurse hangs the solution. When checking
Clara upon returning from lunch, the primary nurse observes that a solution of 5%
Dextrose and 0.9% Normal Saline is infusing at 125 ml/hour. What action should the
primary nurse implement? - -Change the currently infusing solution to 0.9% Normal
Saline and change the rate to 100 ml/hour.
-After hanging the correct IV solution at the correct rate of infusion, the nurse discusses
the error with the nurse who hung the first IV solution. Together, the nurses complete a
variance (incident) report. What additional action should the primary nurse take? - -
Notify the healthcare provider of the error in treatment that occurred.
