MEDSERG 3 | GUARANTEED SUCCESS STARTS HERE!
LEARN, PRACTICE & EXCEL!
The nurse is calculating a client's daily output. Which of the following results in water loss
from the gastrointestinal tract? Select all that apply. One, some or all responses may be
correct. Answer: - Defecation
- vomiting
Which of the following statements is true regarding intravascular fluid in the body? Answer:
It contains plasma proteins and red blood cells
Which of the following hormones in the body promote the loss of water and sodium ions
from the kidney tubules? Select all that apply. One, some, or all responses may be correct.
Answer: - B- type natriuretic peptide
- Atrial natriuretic peptide
How can the nurse best assess the fluid volume status of intravascular volume? Answer:
By taking a blood and chemistry panel
The nurse is caring for a client who is suffering from dehydration. Which of the following
laboratory values would the nurse expect to see? Answer: Hypernatremia
What would the nurse expect to find during the assessment of a client experiencing fluid
overload?
Select all that apply. One, some, or all responses may be correct. Answer: - weight gain
- Edema
- crackles in kings in auscultation
A client taking diuretic therapy is experiencing dehydration. Which of the following findings
would alert the nurse to contact the provider immediatelv? Answer: The client is
hypotensive
A client is experiencing fluid shifts from the intravascular compartment to the interstitial
compartment resulting in edema. They are administered a plasma expanding agent. What
might the client be deficient in? Answer: Plasma proteins
APPHIA – Crafted with Care and Precision for Academic Excellence. 1
, The nurse is assessing the client for edema by pressing on their lower leg. The indentation
remains for a short time and the clients leg looks swollen. How should the nurse grade the
edema? Answer: 3+ pitting edema
The client is prescribed an intravascular solution without electrolytes. What solution
should the nurse choose? Answer: Dextrose in water
A client overuse antacid, taking up to 10 tablets per day. Which electrolytes disturbance
are they at
risk for? Answer: Hypermagnesemia
A client is experiencing slow and shallow breathing. What type of acid-base imbalance
does the nurse expect to find on the client's arterial blood gas results? Answer: Respiratory
acidosis
A client with an acute respiratory event has deoxygenated blood returning to the left side of
their heart. What is this called? Answer: Shunting
A client has a rapid strep test to establish a definitive diagnosis for a streptococcus
pyogenes infection. Why is it important to diagnose and treat this type of upper respiratory
infection? Answer: This type of infection can lead to heart and kidney problems
A client who is coughing is beginning to get tired. What should the nurse remember when
administering an antitussive agent? Answer: To ensure the client is increasing their fluid
intake when taking these medications
Which of the following mechanisms in the body stimulates breathing in a client with
chronic lung disease such as emphysema? Answer: Hypoxemia
What should the nurse recommend for a client with uncomplicated influenza? Answer: The
client should gargle with saline for a sore throat!
The nurse is assessing a client for respiratory failure. Which clinical finding would indicate a
client is in danger of respiratory failure? Answer: Arterial oxygen below 50 mmH (normal
range 80-100mmHg)
A client returns to the unit after a bronchoscopy. Which action by the nurse demonstrates
that they are unaware of how to take care of a client after this procedure? Answer: The
nurse sets up the client's lunch tray immediately after the procedure
APPHIA – Crafted with Care and Precision for Academic Excellence. 2
LEARN, PRACTICE & EXCEL!
The nurse is calculating a client's daily output. Which of the following results in water loss
from the gastrointestinal tract? Select all that apply. One, some or all responses may be
correct. Answer: - Defecation
- vomiting
Which of the following statements is true regarding intravascular fluid in the body? Answer:
It contains plasma proteins and red blood cells
Which of the following hormones in the body promote the loss of water and sodium ions
from the kidney tubules? Select all that apply. One, some, or all responses may be correct.
Answer: - B- type natriuretic peptide
- Atrial natriuretic peptide
How can the nurse best assess the fluid volume status of intravascular volume? Answer:
By taking a blood and chemistry panel
The nurse is caring for a client who is suffering from dehydration. Which of the following
laboratory values would the nurse expect to see? Answer: Hypernatremia
What would the nurse expect to find during the assessment of a client experiencing fluid
overload?
Select all that apply. One, some, or all responses may be correct. Answer: - weight gain
- Edema
- crackles in kings in auscultation
A client taking diuretic therapy is experiencing dehydration. Which of the following findings
would alert the nurse to contact the provider immediatelv? Answer: The client is
hypotensive
A client is experiencing fluid shifts from the intravascular compartment to the interstitial
compartment resulting in edema. They are administered a plasma expanding agent. What
might the client be deficient in? Answer: Plasma proteins
APPHIA – Crafted with Care and Precision for Academic Excellence. 1
, The nurse is assessing the client for edema by pressing on their lower leg. The indentation
remains for a short time and the clients leg looks swollen. How should the nurse grade the
edema? Answer: 3+ pitting edema
The client is prescribed an intravascular solution without electrolytes. What solution
should the nurse choose? Answer: Dextrose in water
A client overuse antacid, taking up to 10 tablets per day. Which electrolytes disturbance
are they at
risk for? Answer: Hypermagnesemia
A client is experiencing slow and shallow breathing. What type of acid-base imbalance
does the nurse expect to find on the client's arterial blood gas results? Answer: Respiratory
acidosis
A client with an acute respiratory event has deoxygenated blood returning to the left side of
their heart. What is this called? Answer: Shunting
A client has a rapid strep test to establish a definitive diagnosis for a streptococcus
pyogenes infection. Why is it important to diagnose and treat this type of upper respiratory
infection? Answer: This type of infection can lead to heart and kidney problems
A client who is coughing is beginning to get tired. What should the nurse remember when
administering an antitussive agent? Answer: To ensure the client is increasing their fluid
intake when taking these medications
Which of the following mechanisms in the body stimulates breathing in a client with
chronic lung disease such as emphysema? Answer: Hypoxemia
What should the nurse recommend for a client with uncomplicated influenza? Answer: The
client should gargle with saline for a sore throat!
The nurse is assessing a client for respiratory failure. Which clinical finding would indicate a
client is in danger of respiratory failure? Answer: Arterial oxygen below 50 mmH (normal
range 80-100mmHg)
A client returns to the unit after a bronchoscopy. Which action by the nurse demonstrates
that they are unaware of how to take care of a client after this procedure? Answer: The
nurse sets up the client's lunch tray immediately after the procedure
APPHIA – Crafted with Care and Precision for Academic Excellence. 2
