1-157 of 157
a. Potassium
, 131. While administering a continuous insulin infusion to a client with
diabetic ketoacidosis, it is essential for the nurse to monitor which serum lab
value?
a. Potassium
b. Calcium
c. Protein
d. Hemoglobin
b. Lactulose
33.A client with cirrhosis of the liver is having numerous, liquid, incontinent
stools, and continues to be confused. In reviewing the client's laboratory
studies, the nurse identifies an elevated serum ammonia level. Based on this
finding, which prescription is most important for the client to receive?
a. Furosemide
b. Lactulose
c. Loperamide
d. IV human albumin
a. Serum lithium level of 1.6 meq/L or mmol/l (SI)
, 158. An adult client who was admitted to the mental health unit for
treatment of bipolar disorder has a slightly slurred speech pattern and an
unsteady gait. Which assessment finding is most important for the nurse to
report to the health care provider?
a. Serum lithium level of 1.6 meq/L or mmol/l (SI)
b. Six hours of sleep in the past three days
c. Weight loss of 10 pounds in the past month
d. Blood alcohol level of 0.09%
b. Report unusual bruising or bleeding
77.A client with atrial fibrillation receives a new prescription for dabigatran
etexilate. Which instruction is important for the nurse to emphasize when
teaching the client about this medication?
a. Check your pulse rate every day
b. Report unusual bruising or bleeding
c. Monitor your blood pressure regularly
d. Elevate your feet if swelling occurs
d. Convey to the client that birth is imminent
32.The nurse is caring for a client who is entering the second stage of labor.
Which action should the nurse implement first?
a. Prepare the client for spinal anesthesia
b. Prepare the coach to accompany the client to delivery
c. Empty the client's bladder using a straight catheter
d. Convey to the client that birth is imminent
, d. Roasted Turkey, canned vegetables
76.The healthcare provider prescribes a low fiber diet for a client with ulcerative
colitis. Which food selection indicates to the nurse that the client understands
the prescribed diet?
a. Roasted pork, fresh strawberries
b. Pancakes, whole grain cereals
c. Baked potato with skin, raw carrots
d. Roasted Turkey, canned vegetables
d. A family member of a client with dementia who has been missing for five hours
40.The nurse working in the psychiatric clinic has phone messages from several
clients. Which cost should the nurse return first?
a. A young man with schizophrenia who wants to stop taking his
medications
b. The mother of a child who was involved in a physical fight at school
today
c. A client diagnosed with depression who is experiencing sexual
dysfunction
d. A family member of a client with dementia who has been missing for
five hours
d. Begin manual ventilation immediately
a. Potassium
, 131. While administering a continuous insulin infusion to a client with
diabetic ketoacidosis, it is essential for the nurse to monitor which serum lab
value?
a. Potassium
b. Calcium
c. Protein
d. Hemoglobin
b. Lactulose
33.A client with cirrhosis of the liver is having numerous, liquid, incontinent
stools, and continues to be confused. In reviewing the client's laboratory
studies, the nurse identifies an elevated serum ammonia level. Based on this
finding, which prescription is most important for the client to receive?
a. Furosemide
b. Lactulose
c. Loperamide
d. IV human albumin
a. Serum lithium level of 1.6 meq/L or mmol/l (SI)
, 158. An adult client who was admitted to the mental health unit for
treatment of bipolar disorder has a slightly slurred speech pattern and an
unsteady gait. Which assessment finding is most important for the nurse to
report to the health care provider?
a. Serum lithium level of 1.6 meq/L or mmol/l (SI)
b. Six hours of sleep in the past three days
c. Weight loss of 10 pounds in the past month
d. Blood alcohol level of 0.09%
b. Report unusual bruising or bleeding
77.A client with atrial fibrillation receives a new prescription for dabigatran
etexilate. Which instruction is important for the nurse to emphasize when
teaching the client about this medication?
a. Check your pulse rate every day
b. Report unusual bruising or bleeding
c. Monitor your blood pressure regularly
d. Elevate your feet if swelling occurs
d. Convey to the client that birth is imminent
32.The nurse is caring for a client who is entering the second stage of labor.
Which action should the nurse implement first?
a. Prepare the client for spinal anesthesia
b. Prepare the coach to accompany the client to delivery
c. Empty the client's bladder using a straight catheter
d. Convey to the client that birth is imminent
, d. Roasted Turkey, canned vegetables
76.The healthcare provider prescribes a low fiber diet for a client with ulcerative
colitis. Which food selection indicates to the nurse that the client understands
the prescribed diet?
a. Roasted pork, fresh strawberries
b. Pancakes, whole grain cereals
c. Baked potato with skin, raw carrots
d. Roasted Turkey, canned vegetables
d. A family member of a client with dementia who has been missing for five hours
40.The nurse working in the psychiatric clinic has phone messages from several
clients. Which cost should the nurse return first?
a. A young man with schizophrenia who wants to stop taking his
medications
b. The mother of a child who was involved in a physical fight at school
today
c. A client diagnosed with depression who is experiencing sexual
dysfunction
d. A family member of a client with dementia who has been missing for
five hours
d. Begin manual ventilation immediately
