WELL DETAILED ANSWERS|LATEST
A 91-year-old client, who is being prepared for discharge, has been prescribed the diuretic
spironolactone. While teaching the client about the drug, what major adverse effect should
the nurse be sure to mention?
A) Hypokalemia
B) Hyperkalemia
C) Angina
D) Hypertension - ANSWER B) Hyperkalemia
The nurse is reviewing the potassium level of a patient with kidney disease. The results of
the test are 6.5 mEq/L, and the nurse observes peaked T waves on the ECG. What priority
intervention does the nurse anticipate the physician will order to reduce the potassium
level?
A) Administration of an insulin drip
B) Administration of a loop diuretic
C) Administration of sodium bicarbonate
D) Administration of sodium polystyrene sulfonate [Kayexalate] - ANSWER D)
Administration of sodium polystyrene sulfonate [Kayexalate]
The nurse has identified a collaborative problem of Risk for Complications of Electrolyte
Imbalance for a client with diarrhea. The client begins to exhibit a decrease in level of
consciousness. What is the nurse's most appropriate action?
A) Notify the health care provider for additional orders.
B) Document the client's level of consciousness.
C) Consult with another nurse to validate the assessment.
1
, D) Decrease stimulation and allow the client to rest. - ANSWER A) Notify the health
care provider for additional orders.
When describing the functions of the kidney to a client, which of the following would the
nurse include?
A) Regulation of white blood cell production
B) Synthesis of vitamin K
C) Control of water balance
D) Secretion of enzymes - ANSWER C) Control of water balance
The health care provider has ordered a urinalysis for a normally healthy client admitted to
the hospital with dehydration. The client has been vomiting for the past 3 days and has had
minimal oral intake. Upon analysis of the results, the urine specific gravity reflects:
A) 1.040
B) 1.001
C) 1.010
D) 1.025 - ANSWER A) 1.040
A client is prescribed digitalis medication. Which condition should the nurse closely monitor
when caring for the client?
A) Vasculitis
B) Nausea and vomiting
C) Flexion contractures
D) Enlargement of joints - ANSWER B) Nausea and vomiting
When the nurse notes that, after cardiac surgery, the client demonstrates low urine output
(less than 25 mL/h) with high specific gravity (greater than 1.025), the nurse suspects which
condition?
A) Inadequate fluid volume
B) Normal glomerular filtration
2
A 91-year-old client, who is being prepared for discharge, has been prescribed the diuretic
spironolactone. While teaching the client about the drug, what major adverse effect should
the nurse be sure to mention?
A) Hypokalemia
B) Hyperkalemia
C) Angina
D) Hypertension - ANSWER B) Hyperkalemia
The nurse is reviewing the potassium level of a patient with kidney disease. The results of
the test are 6.5 mEq/L, and the nurse observes peaked T waves on the ECG. What priority
intervention does the nurse anticipate the physician will order to reduce the potassium
level?
A) Administration of an insulin drip
B) Administration of a loop diuretic
C) Administration of sodium bicarbonate
D) Administration of sodium polystyrene sulfonate [Kayexalate] - ANSWER D)
Administration of sodium polystyrene sulfonate [Kayexalate]
The nurse has identified a collaborative problem of Risk for Complications of Electrolyte
Imbalance for a client with diarrhea. The client begins to exhibit a decrease in level of
consciousness. What is the nurse's most appropriate action?
A) Notify the health care provider for additional orders.
B) Document the client's level of consciousness.
C) Consult with another nurse to validate the assessment.
1
, D) Decrease stimulation and allow the client to rest. - ANSWER A) Notify the health
care provider for additional orders.
When describing the functions of the kidney to a client, which of the following would the
nurse include?
A) Regulation of white blood cell production
B) Synthesis of vitamin K
C) Control of water balance
D) Secretion of enzymes - ANSWER C) Control of water balance
The health care provider has ordered a urinalysis for a normally healthy client admitted to
the hospital with dehydration. The client has been vomiting for the past 3 days and has had
minimal oral intake. Upon analysis of the results, the urine specific gravity reflects:
A) 1.040
B) 1.001
C) 1.010
D) 1.025 - ANSWER A) 1.040
A client is prescribed digitalis medication. Which condition should the nurse closely monitor
when caring for the client?
A) Vasculitis
B) Nausea and vomiting
C) Flexion contractures
D) Enlargement of joints - ANSWER B) Nausea and vomiting
When the nurse notes that, after cardiac surgery, the client demonstrates low urine output
(less than 25 mL/h) with high specific gravity (greater than 1.025), the nurse suspects which
condition?
A) Inadequate fluid volume
B) Normal glomerular filtration
2
