PN2 final exam Questions And Answers

A nurse is evaluating a patient who is being treated for dehydration. Which assessment result does the nurse correlate with a therapeutic response to the treatment plan? - Answer- Decreased orthostatic light-headedness and dizziness After teaching a patient who is prescribed a restricted sodium diet, a nurse assesses the patient's understanding. Which food choice for lunch indicates that the patient correctly understood the teaching? - Answer- Grilled chicken breast with glazed carrots A nurse is assessing a patient with hypokalemia, and notes that the patient's handgrip strength has diminished since the previous assessment 1 hour ago. What action does the nurse take first? - Answer- Assess the patient's respiratory rate, rhythm, and depth. After teaching a patient to increase dietary potassium intake, a nurse assesses the patient's understanding. Which dietary meal selection indicates that the patient correctly understands the teaching? - Answer- Sausage, one slice of whole-wheat toast, half cup of raisins (120 gm), and a glass of milk A patient at risk for developing hyperkalemia states, "I love fruit and usually eat it every day, but now I can't because of my high potassium level." How will the nurse respond? - Answer- "Berries, cherries, apples, and peaches are low in potassium." A nurse is caring for a patient who has a serum calcium level of 14 mg/dL (3.5 mmol/L). Which provider order does the nurse implement first? - Answer- Connect the patient to a cardiac monitor. A nurse assesses a patient who is experiencing an acid-base imbalance. The patient's arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3- 19 mEq/L (19 mmol/L). Which assessment would the nurse perform first? - Answer- Cardiac rate and rhythm A nurse assesses a patient who is prescribed furosemide (Lasix) for hypertension. For which acid-base imbalance does the nurse assess to prevent complications of this therapy? - Answer- Metabolic alkalosis A nurse is caring for a patient who is experiencing excessive diarrhea. The patient's arterial blood gas values are pH 7.18, PaO2 98 mm Hg, PaCO2 45 mm Hg, and HCO3- 16 mEq/L (16 mmol/L). Which provider order does the nurse expect to receive? - Answer- Sodium bicarbonate 100 mEq diluted in 1 L of D5W A nurse evaluates a patient's arterial blood gas values (ABGs): pH 7.30, PaO2 86 mm Hg, PaCO2 55 mm Hg, and HCO3- 22 mEq/L (22 mmol/L). Which intervention does the nurse implement first? - Answer- Assess the airway A diab