NURS 341 EXAM 1 (COMPLETE & VERIFIED) WITH WELL DETAILED SOLUTIONS -
GRADED A+
An older adult client is receiving furosemide (Lasix) for treatment of peripheral edema.
Which nursing assessment data identify that the client is at risk for falling?
A. Dry oral mucous membranes
B. Orthostatic blood pressure changes
C. Pulse rate of 72 beats/min and bounding
D. Serum potassium level of 4.0 mEq/L
Orthostatic blood pressure changes
A client has a low serum potassium level and is ordered a dose of parenteral potassium
chloride (KCl). How does a nurse safely administer KCl to the client?
A. Administers 5 mEq, intramuscularly (IM)
B. Dilutes 200 mEq in 1 liter of normal saline and infuses at 100 mL/hr
C. Infuses 10 mEq over a 1-hour period
D. Pushes 5 mEq through a central access line
Infuses 10 mEq over a 1-hour period
A client is being monitored for daily weights. The night nurse asks the nursing assistant for
the morning weight, and the assistant replies, "She was sleeping so well, I didn't want to
wake her to get her weight." How does the nurse respond?
A. "Fast thinking! She really needs to rest after the night she had."
B. "Get the information now, or I'll report you for not doing your job."
,C. "Never mind-I will do it myself."
D. "Weigh her now. We need her weight daily, at the same time."
"Weigh her now. We need her weight daily, at the same time."
Which situation can cause a client to experience "insensible water loss"? Select all that
apply.
A. Diarrhea
B. Dry, hot weather
C. Fever
D. Increased respiratory rate
E. Nausea
F. Mechanical ventilation
Diarrhea
Dry, hot weather
Fever
Increased respiratory rate
Mechanical ventilation
Which client is at increased risk for fluid and electrolyte imbalance? Select all that apply.
A. 22-year-old pregnant woman in her third trimester
B. 24-year-old male athlete
C. 45-year-old man on diuretics
D. 47-year-old man traveling to South America in summer
,E. 76-year-old bedridden woman
45-year-old man on diuretics
47-year-old man traveling to South America in summer
76-year-old bedridden woman
A nurse instructs an older adult client to increase intake of dietary potassium when the
client is prescribed which classification of drugs?
A. Alpha antagonists
B. Beta blockers
C. Corticosteroids
D. High-ceiling (loop) diuretics
High-ceiling (loop) diuretics
A nurse is instructing a client who is being discharged with a diagnosis of congestive heart
failure (CHF). Which client statement indicates a correct understanding of CHF?
A. "I can gain 2 pounds of water a day without risk."
B. "I should call my provider if I gain more than 1 pound a week."
C. "Weighing myself daily can determine if my caloric intake is adequate is effective."
D. "Weighing myself daily can reveal increased fluid retention."
"Weighing myself daily can reveal increased fluid retention."
Which client is at greatest risk for hypernatremia?
, A. 17 year-old with a serum blood glucose of 189 mg/dL
B. 30-year-old on a low-salt diet
C. 42-year-old receiving hypotonic fluids
D. 54-year old who is sweating profusely
54-year old who is sweating profusely
As adults age, which common physiologic change is likely to alter their hydration status?
A. Adrenal gland growth
B. Decreased muscle mass
C. Increased thirst mechanism
D. Poor skin turgor
Decreased muscle mass
A nurse is reviewing serum electrolytes and blood chemistry for a newly admitted client.
Which result causes the greatest concern?
A. Glucose: 97 mg/dL
B. Magnesium: 2.1 mEq/L
C. Potassium: 5.9 mEq/L
D. Sodium: 143 mEq/L
Potassium: 5.9 mEq/L
A client with hyperkalemia is being treated with drugs to improve the condition. Which
potassium level indicates that therapy is effective?
GRADED A+
An older adult client is receiving furosemide (Lasix) for treatment of peripheral edema.
Which nursing assessment data identify that the client is at risk for falling?
A. Dry oral mucous membranes
B. Orthostatic blood pressure changes
C. Pulse rate of 72 beats/min and bounding
D. Serum potassium level of 4.0 mEq/L
Orthostatic blood pressure changes
A client has a low serum potassium level and is ordered a dose of parenteral potassium
chloride (KCl). How does a nurse safely administer KCl to the client?
A. Administers 5 mEq, intramuscularly (IM)
B. Dilutes 200 mEq in 1 liter of normal saline and infuses at 100 mL/hr
C. Infuses 10 mEq over a 1-hour period
D. Pushes 5 mEq through a central access line
Infuses 10 mEq over a 1-hour period
A client is being monitored for daily weights. The night nurse asks the nursing assistant for
the morning weight, and the assistant replies, "She was sleeping so well, I didn't want to
wake her to get her weight." How does the nurse respond?
A. "Fast thinking! She really needs to rest after the night she had."
B. "Get the information now, or I'll report you for not doing your job."
,C. "Never mind-I will do it myself."
D. "Weigh her now. We need her weight daily, at the same time."
"Weigh her now. We need her weight daily, at the same time."
Which situation can cause a client to experience "insensible water loss"? Select all that
apply.
A. Diarrhea
B. Dry, hot weather
C. Fever
D. Increased respiratory rate
E. Nausea
F. Mechanical ventilation
Diarrhea
Dry, hot weather
Fever
Increased respiratory rate
Mechanical ventilation
Which client is at increased risk for fluid and electrolyte imbalance? Select all that apply.
A. 22-year-old pregnant woman in her third trimester
B. 24-year-old male athlete
C. 45-year-old man on diuretics
D. 47-year-old man traveling to South America in summer
,E. 76-year-old bedridden woman
45-year-old man on diuretics
47-year-old man traveling to South America in summer
76-year-old bedridden woman
A nurse instructs an older adult client to increase intake of dietary potassium when the
client is prescribed which classification of drugs?
A. Alpha antagonists
B. Beta blockers
C. Corticosteroids
D. High-ceiling (loop) diuretics
High-ceiling (loop) diuretics
A nurse is instructing a client who is being discharged with a diagnosis of congestive heart
failure (CHF). Which client statement indicates a correct understanding of CHF?
A. "I can gain 2 pounds of water a day without risk."
B. "I should call my provider if I gain more than 1 pound a week."
C. "Weighing myself daily can determine if my caloric intake is adequate is effective."
D. "Weighing myself daily can reveal increased fluid retention."
"Weighing myself daily can reveal increased fluid retention."
Which client is at greatest risk for hypernatremia?
, A. 17 year-old with a serum blood glucose of 189 mg/dL
B. 30-year-old on a low-salt diet
C. 42-year-old receiving hypotonic fluids
D. 54-year old who is sweating profusely
54-year old who is sweating profusely
As adults age, which common physiologic change is likely to alter their hydration status?
A. Adrenal gland growth
B. Decreased muscle mass
C. Increased thirst mechanism
D. Poor skin turgor
Decreased muscle mass
A nurse is reviewing serum electrolytes and blood chemistry for a newly admitted client.
Which result causes the greatest concern?
A. Glucose: 97 mg/dL
B. Magnesium: 2.1 mEq/L
C. Potassium: 5.9 mEq/L
D. Sodium: 143 mEq/L
Potassium: 5.9 mEq/L
A client with hyperkalemia is being treated with drugs to improve the condition. Which
potassium level indicates that therapy is effective?
