NUR2571 PN2 Final Study guides

1. A nurse is caring for a client who exhibits dehydration-induced confusion. Which intervention should the nurse implement first? Apply oxygen by mask or nasal cannula 2. A nurse is caring for a client who has the following laboratory results: potassium 3.4 mEq/L, magnesium 1.8 mEq/L, calcium 8.5 mEq/L, sodium 144 mEq/L. Which assessment should the nurse complete first? Depth of respirations 3. . A nurse is assessing a client with hypokalemia, and notes that the clients handgrip strength has diminished since the previous assessment 1 hour ago. Which action should the nurse take first? Assess the clients respiratory rate, rhythm, and depth 4. A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L. Which manifestation should the nurse identify as an example of the clients compensation mechanism? Increased rate and depth of respirations 5. A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L. What action should the nurse take next? Assess client’s rate, rhythm, and depth of respiration 6. A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). Which client should the nurse see first? Client with a red, hot, swollen right wrist 7. A client with rheumatoid arthritis (RA) has an acutely swollen, red, and painful joint. What nonpharmacologic treatment does the nurse apply? Ice packs 8. The nurse providing direct client care uses specific practices to reduce the chance of acquiring infection with human immune deficiency virus (HIV) from clients. Which practice is most effective? Consistent use of Standard Precaution 9. A client with human immune deficiency virus (HIV) has had a sudden decline in status with a large increase in viral load. What action should the nurse take first? Assess the client for adherence to the drug regimen 10. A client with HIV wasting syndrome has inadequate nutrition. What assessment finding by the nurse best indicates that goals have been met for this client problem? Has a weight gain of 2 pounds/1 month 11. A client has just been diagnosed with human immune deficiency virus (HIV). The client is distraught and does not know what to do. What intervention by the nurse is best? Assess the client for support systems 12. A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea? A 55-year-old woman who is 50 pounds overweight 13. A pulmonary nurse cares for patients who have chronic obstructive pulmonary disease COPD. Which patient would the nurse assess first? A 52-year-old in the tripod position using accessory muscles to breathe