lOMoARcPSD|26582732
NR 341 Complex Adult Health- quiz 3
Adult complex care (Chamberlain University)
1) The nurse is caring for a client experiencing a decrease in preload due to hypovolemia.
Which action will support an increase in preload and cardiac output?
Administer intravenous bolus 0.9% normal saline.
2) The nurse is caring for a patient diagnosed with acute respiratory distress
syndrome (ARDS). Which factor contributes to fluid retention during mechanical
ventilation?
Decreased renal perfusion with release of renin
3) An elderly client with severe dehydration is admitted to the intensive care unit
(ICU) after being found unconscious on the floor of her home.
Laboratory results include:
• Sodium 122 meq/L
• Hematocrit 56%
• BUN 38 mg/dl
The provider orders intravenous administration of D5W at 200 ml/hour to treat
hypovolemia. Several hours after the infusion is started, the patient has a
generalized seizure. Which statement most accurately describes the cause of the
seizure?
Administration of sodium-free fluids causes cerebral cellular swelling.
4) Hemodynamic monitoring reveals:
• CVP 9 mm Hg
• PAWP 17 mm Hg
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Which finding should the nurse anticipate?
Hepatomegaly
Jugular vein distention
Bilateral crackles in the lungs
5) A nurse is caring for a client who is to have a line placed for hemodynamic
monitoring. Which statement by the nurse indicates an understanding of the
procedure?
“A chest x-ray is needed to confirm line placement.”
6) The nurse is caring for a patient with an arterial line. To reduce the risk of
complications, which is the priority nursing action?
Ensure all tubing connections are secure.
7) Continuous renal replacement therapy (CRRT) is often preferred for critically ill
patients with fluid volume overload. Why is CRRT preferred over intermittent
hemodialysis (IHD)?
IHD can lead to severe hemodynamic instability.
8) At 13:00, a 72-year-old man is admitted to the intensive care unit (ICU) with a
diagnosis of congestive heart failure. Which three assessment findings are the
nurse’s top priorit
Dyspnea
Bilateral lower lobe crackles
Urinary output 28 ml in the past hour
9) At 14:00, the client’s dyspnea has worsened, and urine output is 20 ml for the past
hour. A catheter is inserted for hemodynamic monitoring. Which readings does
the nurse anticipate? Select all that apply.
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NR 341 Complex Adult Health- quiz 3
Adult complex care (Chamberlain University)
1) The nurse is caring for a client experiencing a decrease in preload due to hypovolemia.
Which action will support an increase in preload and cardiac output?
Administer intravenous bolus 0.9% normal saline.
2) The nurse is caring for a patient diagnosed with acute respiratory distress
syndrome (ARDS). Which factor contributes to fluid retention during mechanical
ventilation?
Decreased renal perfusion with release of renin
3) An elderly client with severe dehydration is admitted to the intensive care unit
(ICU) after being found unconscious on the floor of her home.
Laboratory results include:
• Sodium 122 meq/L
• Hematocrit 56%
• BUN 38 mg/dl
The provider orders intravenous administration of D5W at 200 ml/hour to treat
hypovolemia. Several hours after the infusion is started, the patient has a
generalized seizure. Which statement most accurately describes the cause of the
seizure?
Administration of sodium-free fluids causes cerebral cellular swelling.
4) Hemodynamic monitoring reveals:
• CVP 9 mm Hg
• PAWP 17 mm Hg
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Which finding should the nurse anticipate?
Hepatomegaly
Jugular vein distention
Bilateral crackles in the lungs
5) A nurse is caring for a client who is to have a line placed for hemodynamic
monitoring. Which statement by the nurse indicates an understanding of the
procedure?
“A chest x-ray is needed to confirm line placement.”
6) The nurse is caring for a patient with an arterial line. To reduce the risk of
complications, which is the priority nursing action?
Ensure all tubing connections are secure.
7) Continuous renal replacement therapy (CRRT) is often preferred for critically ill
patients with fluid volume overload. Why is CRRT preferred over intermittent
hemodialysis (IHD)?
IHD can lead to severe hemodynamic instability.
8) At 13:00, a 72-year-old man is admitted to the intensive care unit (ICU) with a
diagnosis of congestive heart failure. Which three assessment findings are the
nurse’s top priorit
Dyspnea
Bilateral lower lobe crackles
Urinary output 28 ml in the past hour
9) At 14:00, the client’s dyspnea has worsened, and urine output is 20 ml for the past
hour. A catheter is inserted for hemodynamic monitoring. Which readings does
the nurse anticipate? Select all that apply.
Downloaded by NELSON KIIRU ()
