NUR 514 Exam 2 Prep
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NU 211 Exam 4 NSC 484: Exam 3 Med/Surg Nursing Practice: Medicat... HESI R
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A nurse is assessing a client who has fluid volume excess. C
Which finding should the nurse report first?
Why?
A. Weight gain of 2 lb in 1 week
B. Blood pressure 146/88 mmHg The patient has low oxygenation. According to the ABCs, breathing problems take
C. Crackles in both lung bases and oxygen saturation priority!
88%
D. Peripheral edema +1
A nurse enters the room of a client diagnosed with C. C
difficile. Which PPE should the nurse wear?
Why?
A. Surgical mask
B. N95 respirator C. diff requires contact precautions!
C. Gown and gloves
D. Sterile gloves only
A nurse is reviewing laboratory results. Which result B
requires immediate intervention?
Why?
A. Sodium 137 mEq/L
B. Potassium 5.9 mEq/L Hyperkalemia can rapidly lead to fatal dysrhythmias!
C. WBC 7,200/mm³
D. Hgb 13.8 g/dL
, A nurse is caring for a client experiencing pulmonary B
edema secondary to heart failure. Which action should
the nurse take first? Why?
A. Restrict sodium intake This improves lung expansion and decreases the work of breathing
B. Place the client in high Fowler's position
C. Obtain daily weights *ABCs*
D. Educate about DASH diet
A nurse is caring for a client who has Alzheimer's disease. B
Which intervention is appropriate?
Why?
A. Repeatedly challenge incorrect statements
B. Provide a structured routine Routine reduces confusion and anxiety
C. Frequently move furniture
D. Ask open-ended questions
Which finding indicates digoxin toxicity? B
A. Hypertension
B. Yellow vision
C. Hyperactivity
D. Increased appetite
A nurse is caring for a client receiving lisinopril. Which A
finding requires follow-up?
Why?
A. Dry cough
B. Increased appetite A persistent dry cough is a common ACE inhibitor side effect
C. Bradycardia
D. Hyperglycemia
A nurse is assessing a client with left-sided heart failure. C
Which manifestation should the nurse expect?
Why?
A. Ascites
B. JVD Left-sided heart failure causes blood to back up into the lungs
C. Crackles
D. Hepatomegaly *LEFT = LUNGS *
Which finding indicates improvement in fluid volume B
excess?
Why?
A. Increased crackles
B. Weight loss of 2 kg Daily weight is the most accurate indicator of fluid status
C. Increased JVD
D. Blood pressure elevation
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Students also studied
Flashcard sets Study guides
NU 211 Exam 4 NSC 484: Exam 3 Med/Surg Nursing Practice: Medicat... HESI R
Teacher 91 terms Teacher 155 terms Teacher 39 terms Teacher
laban_munyao Preview EXTENSION123 Preview Raheem819 Preview quiz
Terms in this set (87) Hide definitions
A nurse is assessing a client who has fluid volume excess. C
Which finding should the nurse report first?
Why?
A. Weight gain of 2 lb in 1 week
B. Blood pressure 146/88 mmHg The patient has low oxygenation. According to the ABCs, breathing problems take
C. Crackles in both lung bases and oxygen saturation priority!
88%
D. Peripheral edema +1
A nurse enters the room of a client diagnosed with C. C
difficile. Which PPE should the nurse wear?
Why?
A. Surgical mask
B. N95 respirator C. diff requires contact precautions!
C. Gown and gloves
D. Sterile gloves only
A nurse is reviewing laboratory results. Which result B
requires immediate intervention?
Why?
A. Sodium 137 mEq/L
B. Potassium 5.9 mEq/L Hyperkalemia can rapidly lead to fatal dysrhythmias!
C. WBC 7,200/mm³
D. Hgb 13.8 g/dL
, A nurse is caring for a client experiencing pulmonary B
edema secondary to heart failure. Which action should
the nurse take first? Why?
A. Restrict sodium intake This improves lung expansion and decreases the work of breathing
B. Place the client in high Fowler's position
C. Obtain daily weights *ABCs*
D. Educate about DASH diet
A nurse is caring for a client who has Alzheimer's disease. B
Which intervention is appropriate?
Why?
A. Repeatedly challenge incorrect statements
B. Provide a structured routine Routine reduces confusion and anxiety
C. Frequently move furniture
D. Ask open-ended questions
Which finding indicates digoxin toxicity? B
A. Hypertension
B. Yellow vision
C. Hyperactivity
D. Increased appetite
A nurse is caring for a client receiving lisinopril. Which A
finding requires follow-up?
Why?
A. Dry cough
B. Increased appetite A persistent dry cough is a common ACE inhibitor side effect
C. Bradycardia
D. Hyperglycemia
A nurse is assessing a client with left-sided heart failure. C
Which manifestation should the nurse expect?
Why?
A. Ascites
B. JVD Left-sided heart failure causes blood to back up into the lungs
C. Crackles
D. Hepatomegaly *LEFT = LUNGS *
Which finding indicates improvement in fluid volume B
excess?
Why?
A. Increased crackles
B. Weight loss of 2 kg Daily weight is the most accurate indicator of fluid status
C. Increased JVD
D. Blood pressure elevation
