Test Bank- Med Surg Chapt. 13
QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS Graded A+
A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration.
Which client is at greatest risk for dehydration?
A 36 year old who is prescribed long-term steroid therapy.
A 55 year old who recently received intravenous fluids.
A 76 year old who is cognitively impaired.
An 83 year old with congestive heart failure. - Correct Answer: c.A 76 year old who
is cognitively impaired.
A nurse is caring for an older client who exhibits dehydration-induced confusion. Which
intervention by the nurse is best?
Measure intake and output every 4 hours.
Assess client further for fall risk.
c. Increase the IV flow rate to 250 mL/hr.
d. Place the client in a high-Fowler position. - Correct Answer: b.Assess client further for fall
risk.
After teaching a client who is being treated for dehydration, a nurse assesses the client's
understanding. Which statement indicates that the client correctly understood the teaching?
a. "I must drink a quart (liter) of water or other liquid each day."
b. "I will weigh myself each morning before I eat or drink."
c. "I will use a salt substitute when making and eating my meals."
d. "I will not drink liquids after 6 p.m. so I won't have to get up at night." - Correct Answer: b."I
will weigh myself each morning before I eat or drink."
, A nurse is assessing clients on a medical-surgical unit. Which adult client does the nurse
identify as being at greatest risk for insensible water loss?
a. Client taking furosemide.
b. Anxious client who has tachypnea.
c. Client who is on fluid restrictions.
d. Client who is constipated with abdominal pain. - Correct Answer: b.Anxious client who has
tachypnea
A nurse is evaluating a client who is being treated for dehydration. Which assessment result
does the nurse correlate with a therapeutic response to the treatment plan?
a. Increased respiratory rate from 12 to 22 breaths/min
b. Decreased skin turgor on the client's posterior hand and forehead
c. Increased urine specific gravity from 1.012 to 1.030 g/mL
d. Decreased orthostatic changes when standing - Correct Answer: d.Decreased orthostatic
changes when standing
After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the client's
understanding. Which food choice for lunch indicates that the client correctly understood the
teaching?
a. Slices of smoked ham with potato salad
b. Bowl of tomato soup with a grilled cheese sandwich
c. Salami and cheese on whole-wheat crackers
d. Grilled chicken breast with glazed carrots - Correct Answer: d.Grilled chicken breast with
glazed carrots
A nurse is assessing clients for fluid and electrolyte imbalances. Which client will the nurse
assess first for potential hyponatremia?
a. A 34 year old who is NPO and receiving rapid intravenous D5W infusions.
QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS Graded A+
A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration.
Which client is at greatest risk for dehydration?
A 36 year old who is prescribed long-term steroid therapy.
A 55 year old who recently received intravenous fluids.
A 76 year old who is cognitively impaired.
An 83 year old with congestive heart failure. - Correct Answer: c.A 76 year old who
is cognitively impaired.
A nurse is caring for an older client who exhibits dehydration-induced confusion. Which
intervention by the nurse is best?
Measure intake and output every 4 hours.
Assess client further for fall risk.
c. Increase the IV flow rate to 250 mL/hr.
d. Place the client in a high-Fowler position. - Correct Answer: b.Assess client further for fall
risk.
After teaching a client who is being treated for dehydration, a nurse assesses the client's
understanding. Which statement indicates that the client correctly understood the teaching?
a. "I must drink a quart (liter) of water or other liquid each day."
b. "I will weigh myself each morning before I eat or drink."
c. "I will use a salt substitute when making and eating my meals."
d. "I will not drink liquids after 6 p.m. so I won't have to get up at night." - Correct Answer: b."I
will weigh myself each morning before I eat or drink."
, A nurse is assessing clients on a medical-surgical unit. Which adult client does the nurse
identify as being at greatest risk for insensible water loss?
a. Client taking furosemide.
b. Anxious client who has tachypnea.
c. Client who is on fluid restrictions.
d. Client who is constipated with abdominal pain. - Correct Answer: b.Anxious client who has
tachypnea
A nurse is evaluating a client who is being treated for dehydration. Which assessment result
does the nurse correlate with a therapeutic response to the treatment plan?
a. Increased respiratory rate from 12 to 22 breaths/min
b. Decreased skin turgor on the client's posterior hand and forehead
c. Increased urine specific gravity from 1.012 to 1.030 g/mL
d. Decreased orthostatic changes when standing - Correct Answer: d.Decreased orthostatic
changes when standing
After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the client's
understanding. Which food choice for lunch indicates that the client correctly understood the
teaching?
a. Slices of smoked ham with potato salad
b. Bowl of tomato soup with a grilled cheese sandwich
c. Salami and cheese on whole-wheat crackers
d. Grilled chicken breast with glazed carrots - Correct Answer: d.Grilled chicken breast with
glazed carrots
A nurse is assessing clients for fluid and electrolyte imbalances. Which client will the nurse
assess first for potential hyponatremia?
a. A 34 year old who is NPO and receiving rapid intravenous D5W infusions.
