Complete NRSG 337 Exam 1 (Older Adults) Q
Correct Answers
A cclient cw/ cconsistent cdietary cintake closes c.5kg cin c24 chrs. cHow cmuch cfluid chas cthis cclient clos
-1 cL
-1500 cmL
-500 cmL
-Can't cbe cdetermined cw/ cthe cinfo cprovided c- cCORRECT cANS✔✔-500 cmL c(explanation: c1 ckg c
ckg c= c500 cmL)
During ca creport, cthe cnurse cis ctold cone cof cthe cclients cis cexperiencing csecond cspacing cof cfluid.
cto cfind cwhen cassessing cthis cclient?
-Poor cskin cturgor
-Edema
-Distended, cfluid-filled cabdomen
-Urinary cretention c- cCORRECT cANS✔✔-Edema
When ccells cin cthe cbody care cexposed cto ca cfluid cthat chas cthe csame cconcentration cof cparticles
cthe ccells, cthe cfluid cis cdescribed cas c____.
-osmosis c
-hypotonic
-isotonic c
-hypertonic c- cCORRECT cANS✔✔-isotonic
Which cof cthe cfollowing cis ca chypotonic cfluid?
-5% cdextrose cin clactated cringers
-0.45% cNaCl
-0.9% cNaCl
-Lactated cringers c- cCORRECT cANS✔✔-0.45% cNaCl
What cstims caldosterone csecretion cfrom cthe cadrenal ccortex?
-low cBP c& cdecreased cserum csodium
-elevated cBP c& cincreased cserum csodium c- cCORRECT cANS✔✔-low cBP c& cdecreased cserum cs
, -tachycardia c
-JVD c
-poor cskin cturgor c- cCORRECT cANS✔✔-JVD
The cnurse cis ccaring cfor ca cpt cw/ csodium cimbalances cand canticipates cassessment cchanges cprim
-CV csystem
-Musculoskeletal csystem
-Renal csystem
-CNS c- cCORRECT cANS✔✔-CNS
Which cnursing cassessment cis cmost cimportant cwhile ccaring cfor ca cpt cwho cis creceiving c3 c% cNa
chyponatremia?
-Urinary coutput
-Lung cSounds
-Peripheral cedema
-Peripheral cfluid c- cCORRECT cANS✔✔-Lung cSounds
Pt cdiagnosed cw/ chyperkalemia. cWhich cstatement cmade cby cthe cclient cindicates ca cneed cfor cfur
-I cshould cavoid ceating ca clot cof cbananas
-I ccan cinclude cpasta cin cmy cdiet
-I cwill ccontinue cto cuse csalt csubs cinstead cof creal csalt
-I cwill cswitch cfrom cdrinking ctomato cjuice cto ccranberry cjuice c- cCORRECT cANS✔✔-I cwill ccontinu
creal csalt
Pt cis ctaking cfurosemide c(Lasix). cWhich cnew cpotassium clevel cwould cbe cof cgreatest cconcern cto
-5.2 cmEq/L
-3.5 cmEq/L
-4.1 cmEq/L
-3.1 cmEq/L c- cCORRECT cANS✔✔-3.1 cmEq/L
Pt chas cbeen cprescribed cIV cKCl cfor cthe ctreatment cof chypokalemia. cWhat cprecautions cshould cth
csevere ccomplications?
-Verify cpt chas cadequate curine coutput cprior cto cadmin
-Admin cKCl cas can cIV cpush cmed
-Avoid cinverting cIV cbags ccontaining cKCl cupside cdown c& cupright cseveral ctimes cprior cto cadmin
-Inject cKCl cto can cexisting cIV cbag cthat cis ccurrently cinfusing cinto cthe cpt c- cCORRECT cANS✔✔-V
coutput cprior cto cadmin
Pt chas chypercalcemia. cWhich cstatement cindicates ca cneed cfor cmore cteaching?
-Kidney cstones cmay coccur cas ca ccomplication cof chypercalcemia
-Weight-bearing cexercises ccan chelp ckeep ccalcium cin cmy cbones
-I cshould crestrict cmy cfluid cintake cto cless cthat c2000 cmL/day
-If cI cexperience cheartburn, cit ccan cbe cmanaged cw/ ca cmg-containing cantacid c- cCORRECT cANS
cintake cto cless cthat c2000 cmL/day
Nurse cnotices can cinvoluntary ccontraction cof cmuscles cin cpt's chand c& cwrist cwhen cinflating cBP cc
cimbalance cdoes cthe cnurse csuspect?
-Hypokalemia
-Hypocalcemia
-Hypernatremia
-Hypermagnesemia c- cCORRECT cANS✔✔-Hypocalcemia
Physician cprescribes cMaalox, c1 ctab cPO cPRN, cfor ca cpt cwith cchronic ckidney cdisease c(CKD) cwh
cintervention cshould cthe cnurse cimplement?
-Admin c30 cmins cbefore ceating
Correct Answers
A cclient cw/ cconsistent cdietary cintake closes c.5kg cin c24 chrs. cHow cmuch cfluid chas cthis cclient clos
-1 cL
-1500 cmL
-500 cmL
-Can't cbe cdetermined cw/ cthe cinfo cprovided c- cCORRECT cANS✔✔-500 cmL c(explanation: c1 ckg c
ckg c= c500 cmL)
During ca creport, cthe cnurse cis ctold cone cof cthe cclients cis cexperiencing csecond cspacing cof cfluid.
cto cfind cwhen cassessing cthis cclient?
-Poor cskin cturgor
-Edema
-Distended, cfluid-filled cabdomen
-Urinary cretention c- cCORRECT cANS✔✔-Edema
When ccells cin cthe cbody care cexposed cto ca cfluid cthat chas cthe csame cconcentration cof cparticles
cthe ccells, cthe cfluid cis cdescribed cas c____.
-osmosis c
-hypotonic
-isotonic c
-hypertonic c- cCORRECT cANS✔✔-isotonic
Which cof cthe cfollowing cis ca chypotonic cfluid?
-5% cdextrose cin clactated cringers
-0.45% cNaCl
-0.9% cNaCl
-Lactated cringers c- cCORRECT cANS✔✔-0.45% cNaCl
What cstims caldosterone csecretion cfrom cthe cadrenal ccortex?
-low cBP c& cdecreased cserum csodium
-elevated cBP c& cincreased cserum csodium c- cCORRECT cANS✔✔-low cBP c& cdecreased cserum cs
, -tachycardia c
-JVD c
-poor cskin cturgor c- cCORRECT cANS✔✔-JVD
The cnurse cis ccaring cfor ca cpt cw/ csodium cimbalances cand canticipates cassessment cchanges cprim
-CV csystem
-Musculoskeletal csystem
-Renal csystem
-CNS c- cCORRECT cANS✔✔-CNS
Which cnursing cassessment cis cmost cimportant cwhile ccaring cfor ca cpt cwho cis creceiving c3 c% cNa
chyponatremia?
-Urinary coutput
-Lung cSounds
-Peripheral cedema
-Peripheral cfluid c- cCORRECT cANS✔✔-Lung cSounds
Pt cdiagnosed cw/ chyperkalemia. cWhich cstatement cmade cby cthe cclient cindicates ca cneed cfor cfur
-I cshould cavoid ceating ca clot cof cbananas
-I ccan cinclude cpasta cin cmy cdiet
-I cwill ccontinue cto cuse csalt csubs cinstead cof creal csalt
-I cwill cswitch cfrom cdrinking ctomato cjuice cto ccranberry cjuice c- cCORRECT cANS✔✔-I cwill ccontinu
creal csalt
Pt cis ctaking cfurosemide c(Lasix). cWhich cnew cpotassium clevel cwould cbe cof cgreatest cconcern cto
-5.2 cmEq/L
-3.5 cmEq/L
-4.1 cmEq/L
-3.1 cmEq/L c- cCORRECT cANS✔✔-3.1 cmEq/L
Pt chas cbeen cprescribed cIV cKCl cfor cthe ctreatment cof chypokalemia. cWhat cprecautions cshould cth
csevere ccomplications?
-Verify cpt chas cadequate curine coutput cprior cto cadmin
-Admin cKCl cas can cIV cpush cmed
-Avoid cinverting cIV cbags ccontaining cKCl cupside cdown c& cupright cseveral ctimes cprior cto cadmin
-Inject cKCl cto can cexisting cIV cbag cthat cis ccurrently cinfusing cinto cthe cpt c- cCORRECT cANS✔✔-V
coutput cprior cto cadmin
Pt chas chypercalcemia. cWhich cstatement cindicates ca cneed cfor cmore cteaching?
-Kidney cstones cmay coccur cas ca ccomplication cof chypercalcemia
-Weight-bearing cexercises ccan chelp ckeep ccalcium cin cmy cbones
-I cshould crestrict cmy cfluid cintake cto cless cthat c2000 cmL/day
-If cI cexperience cheartburn, cit ccan cbe cmanaged cw/ ca cmg-containing cantacid c- cCORRECT cANS
cintake cto cless cthat c2000 cmL/day
Nurse cnotices can cinvoluntary ccontraction cof cmuscles cin cpt's chand c& cwrist cwhen cinflating cBP cc
cimbalance cdoes cthe cnurse csuspect?
-Hypokalemia
-Hypocalcemia
-Hypernatremia
-Hypermagnesemia c- cCORRECT cANS✔✔-Hypocalcemia
Physician cprescribes cMaalox, c1 ctab cPO cPRN, cfor ca cpt cwith cchronic ckidney cdisease c(CKD) cwh
cintervention cshould cthe cnurse cimplement?
-Admin c30 cmins cbefore ceating
