nur 235 exam 3 Questions With Complete Solutions
A 35-year-old female pt comes into the clinic postoperative
parathyroidectomy. Which of the following should the nurse
instruct this pt?
1. Drink one glass of red wine per day.
2. Avoid the sun.
3. Milk & milk-based products will ensure an adequate calcium
intake.
4. Red meat is the protein source of choice. Correct Answers 3.
Milk & milk-based products will ensure an adequate calcium
intake.
A nurse is caring for a client with a nasogastric tube (NGT) who
has a prescription for NGT irrigation once every 8 hours. To
maintain homeostasis, which solution should the nurse use to
irrigate the NGT?
A. Tap wate
rB. Sterile Water
C. 0.9% Sodium Chloride
D. 0.45% Sodium Chloride Correct Answers C. 0.9% Sodium
Chloride
A nurse is planning care for a client with hypokalemia. Which
interventions should be included in the plan of care? Select all
that apply.
A. Ensure adequate fluid intake.
B. Implement safety measures to prevent falls
C. Encourage low fiber foods to prevent diarrhea
.D. Instruct the client about foods that contain potassium.
, E. Encourage the client to obtain assistance to ambulate.
Correct Answers A. Ensure adequate fluid intake.
B. Implement safety measures to prevent falls
.D. Instruct the client about foods that contain potassium.
E. Encourage the client to obtain assistance to ambulate.
A patient with hypovolemic hyponatremia is started on IV
fluids. Which of the following fluids do you expect the patient to
be started on?*
A. 0.45% Saline
B. 3% Saline
C. D5W
D. 0.33% Saline Correct Answers B. 3% Saline
A patient's serum potassium level is 2.2 mEq/L. Which nursing
action is the highest priority for this patient?
1. Start oxygen at 2 L/min
2. Initiate cardiac monitoring
3. Initiate seizure precautions
4. Keep the patient on bed rest Correct Answers 2. Initiate
cardiac monitoring
A postoperative pt is diagnosed with fluid volume overload.
Which of the following should the nurse assess in this pt?
1. poor skin turgor
2. decreased urine output
3. distended neck veins
4. concentrated hemoglobin & hematocrit levels Correct
Answers 3. distended neck veins
A 35-year-old female pt comes into the clinic postoperative
parathyroidectomy. Which of the following should the nurse
instruct this pt?
1. Drink one glass of red wine per day.
2. Avoid the sun.
3. Milk & milk-based products will ensure an adequate calcium
intake.
4. Red meat is the protein source of choice. Correct Answers 3.
Milk & milk-based products will ensure an adequate calcium
intake.
A nurse is caring for a client with a nasogastric tube (NGT) who
has a prescription for NGT irrigation once every 8 hours. To
maintain homeostasis, which solution should the nurse use to
irrigate the NGT?
A. Tap wate
rB. Sterile Water
C. 0.9% Sodium Chloride
D. 0.45% Sodium Chloride Correct Answers C. 0.9% Sodium
Chloride
A nurse is planning care for a client with hypokalemia. Which
interventions should be included in the plan of care? Select all
that apply.
A. Ensure adequate fluid intake.
B. Implement safety measures to prevent falls
C. Encourage low fiber foods to prevent diarrhea
.D. Instruct the client about foods that contain potassium.
, E. Encourage the client to obtain assistance to ambulate.
Correct Answers A. Ensure adequate fluid intake.
B. Implement safety measures to prevent falls
.D. Instruct the client about foods that contain potassium.
E. Encourage the client to obtain assistance to ambulate.
A patient with hypovolemic hyponatremia is started on IV
fluids. Which of the following fluids do you expect the patient to
be started on?*
A. 0.45% Saline
B. 3% Saline
C. D5W
D. 0.33% Saline Correct Answers B. 3% Saline
A patient's serum potassium level is 2.2 mEq/L. Which nursing
action is the highest priority for this patient?
1. Start oxygen at 2 L/min
2. Initiate cardiac monitoring
3. Initiate seizure precautions
4. Keep the patient on bed rest Correct Answers 2. Initiate
cardiac monitoring
A postoperative pt is diagnosed with fluid volume overload.
Which of the following should the nurse assess in this pt?
1. poor skin turgor
2. decreased urine output
3. distended neck veins
4. concentrated hemoglobin & hematocrit levels Correct
Answers 3. distended neck veins
