RN Comprehensive Online Practice 2019 B with NGN Questions and Answers | Latest Update | Graded Pass Graded A+

RN Comprehensive Online Practice 2019 B with NGN Questions and Answers | Latest Update | Graded Pass Graded A+ A nurse has just received change-of-shift report on four clients. Which of the following clients should the nurse assess first? A client who is postoperative with abdominal distention and no bowel sounds A client who has diabetes mellitus and a blood glucose level of 105 mg/dL A client who has heart failure and 2+ pitting edema A client who is receiving maintenance IV fluids and needs a new IV catheter - ANSWER A client who is postoperative with abdominal distention and no bowel sounds Using the acute vs. chronic approach to client care, the nurse should first assess the client who is postoperative with abdominal distention and no bowel sounds because these manifestations are indications of a paralytic ileus. A charge nurse is providing an educational session about infection control for a group of staff nurses. Which of the following statements by one of the staff nurses indicates an understanding of isolation precautions? "Droplet precautions should be initiated for a client who tests positive for measles." "A client who requires airborne precautions should be placed in a negative-pressure airflow room." "Airborne precautions should be initiated for a client who has Clostridium difficile." "A client who is immunocompromised should be placed in a negative-pressure airflow room." - ANSWER A client who requires airborne precautions should be placed in a negativepressure airflow room." Airborne precautions require a negative-pressure airflow room that has at least six to 12 air exchanges each hour using a HEPA filtration system. A nurse is admitting a client who has pneumonia. The nurse should initiate which of the following isolation precautions for the client? Droplet Airborne Contact Protective environment - ANSWER Droplet The nurse should initiate droplet precautions for this client by placing the client in a private room and wearing a surgical mask when caring for the client. Pneumonia is transmitted by droplet particles. A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? Diarrhea Urinary retention Purulent discharge Abdominal bloating - ANSWER Abdominal bloating The nurse should include the presence of abdominal bloating as an early manifestation of ovarian cancer. Other manifestations include an increase in abdominal girth, pelvic or abdominal pain, early satiety, and urinary frequency or urgency. A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm Hg, and HCO3- of 25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances? Respiratory alkalosis Metabolic alkalosis Respiratory acidosis Metabolic acidosis - ANSWER Respiratory acidosis A client who has respiratory acidosis will have a decreased pH below the expected reference range of 7.35 to 7.45, an increased PaCO2 above the expected reference range of 35 to 45 mm Hg, and an HCO3- within the expected reference range of 22 to 26 mEq/L.