Nurs 341 Exam 1 – Questions With Reliable Solutions
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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An older adult client is receiving furosemide Orthostatic blood pressure changes
(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
A client has a low serum potassium level and Infuses 10 mEq over a 1-hour period
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
A client is being monitored for daily weights. "Weigh her now. We need her weight daily, at the same time."
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."
,Which situation can cause a client to Diarrhea
experience "insensible water loss"? Select Dry, hot weather
all that apply. Fever
A. Diarrhea Increased respiratory rate
B. Dry, hot weather Mechanical ventilation
C. Fever
D. Increased respiratory rate
E. Nausea
F. Mechanical ventilation
Which client is at increased risk for fluid and 45-year-old man on diuretics
electrolyte imbalance? Select all that apply. 47-year-old man traveling to South America in summer
A. 22-year-old pregnant woman in her third 76-year-old bedridden woman
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
A nurse instructs an older adult client to High-ceiling (loop) diuretics
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
A nurse is instructing a client who is being "Weighing myself daily can reveal increased fluid retention."
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."
Which client is at greatest risk for 54-year old who is sweating profusely
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
As adults age, which common physiologic Decreased muscle mass
change is likely to alter their hydration
status?
A. Adrenal gland growth
B. Decreased muscle mass
C. Increased thirst mechanism
D. Poor skin turgor
,A nurse is reviewing serum electrolytes and Potassium: 5.9 mEq/L
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
A client with hyperkalemia is being treated 4.6 mEq/L
with drugs to improve the condition. Which
potassium level indicates that therapy is
effective?
A. 7.6 mEq/L
B. 5.6 mEq/L
C. 4.6 mEq/L
D. 2.6 mEq/L
A client is admitted with hypokalemia and Respirations
skeletal muscle weakness. Which assessment
does the nurse perform first?
A. Blood pressure
B. Pulse
C. Respirations
D. Temperature
A client develops fluid overload while in the Elevates the head of the bed
intensive care unit. Which nursing
intervention does the nurse perform first?
A. Draws blood for laboratory tests
B. Elevates the head of the bed
C. Places the extremities in a dependent
position
D. Puts the client in a side-lying position
A nurse is assessing a client with Muscular weakness
hyponatremia. Which finding requires
immediate action?
A. Diminished bowel sounds
B. Heightened acuity
C. Muscular weakness
D. Urine output of 35 mL/hr
A nurse is teaching a group of unlicensed "Offer fluids that they prefer frequently and on a regular
assistive personnel (UAP) about fluid intake schedule."
principles for older adults. What does the
nurse tell them?
A. "Be careful not to overload them with too
many oral fluids."
B. "Offer fluids that they prefer frequently
and on a regular schedule."
C. "Restrict their fluids in the evening hours if
they are incontinent."
D. "Wake them every 2 hours during the
night with a drink."
, A nurse is caring for a client who is receiving Hourly deep tendon reflexes (DTRs)
intravenous (IV) magnesium sulfate
(MgSO4). Which assessment parameter is
critical?
A. 24-hour urine output
B. Asking the client about feeling depressed
C. Hourly deep tendon reflexes (DTRs)
D. Monitoring of serum calcium levels
The charge nurse on a medical-surgical unit 76-year-old with poor skin turgor who has a serum osmolarity
is completing assignments for the day shift. of 300 mOsm/L
Which client is assigned to the LPN/LVN?
A. 44-year-old with congestive heart failure
(CHF) who has gained 3 pounds since the
previous day
B. 58-year-old with chronic renal failure
(CRF) who has a serum potassium level of 6
mEq/L
C. 76-year-old with poor skin turgor who
has a serum osmolarity of 300 mOsm/L
D. 80-year-old with 3+ peripheral edema
who has crackles throughout the posterior
chest
The client is a 69-year-old woman with RN who has floated from the intensive care unit
uncontrolled diabetes, polyuria, and a
blood pressure of 86/46. Which staff
member is assigned to care for her?
A. LPN/LVN who has floated from the
hospital's long-term care unit
B. LPN/LVN who frequently administers
medications to multiple clients
C. RN who has floated from the intensive
care unit
D. RN who usually works as a diabetic
educator
A nurse is planning care for a 72-year-old Offering fluids to drink every hour
resident of a long-term care facility who has
a history of dehydration. Which action does
the nurse delegate to unlicensed assistive
personnel (UAP)?
A. Assessing oral mucosa for dryness
B. Choosing appropriate oral fluids
C. Monitoring skin turgor for tenting
D. Offering fluids to drink every hour
An RN is caring for a client with end-stage Placing the client in a semi-Fowler's position
liver disease that has resulted in ascites.
Which action does the RN delegate to
unlicensed assistive personnel (UAP)?
A. Assessing skin integrity and abdominal
distention
B. Drawing blood from a central venous line
for electrolyte studies
C. Evaluating laboratory study results for the
presence of hypokalemia
D. Placing the client in a semi-Fowler's
position
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (613)
An older adult client is receiving furosemide Orthostatic blood pressure changes
(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
A client has a low serum potassium level and Infuses 10 mEq over a 1-hour period
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
A client is being monitored for daily weights. "Weigh her now. We need her weight daily, at the same time."
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."
,Which situation can cause a client to Diarrhea
experience "insensible water loss"? Select Dry, hot weather
all that apply. Fever
A. Diarrhea Increased respiratory rate
B. Dry, hot weather Mechanical ventilation
C. Fever
D. Increased respiratory rate
E. Nausea
F. Mechanical ventilation
Which client is at increased risk for fluid and 45-year-old man on diuretics
electrolyte imbalance? Select all that apply. 47-year-old man traveling to South America in summer
A. 22-year-old pregnant woman in her third 76-year-old bedridden woman
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
A nurse instructs an older adult client to High-ceiling (loop) diuretics
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
A nurse is instructing a client who is being "Weighing myself daily can reveal increased fluid retention."
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."
Which client is at greatest risk for 54-year old who is sweating profusely
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
As adults age, which common physiologic Decreased muscle mass
change is likely to alter their hydration
status?
A. Adrenal gland growth
B. Decreased muscle mass
C. Increased thirst mechanism
D. Poor skin turgor
,A nurse is reviewing serum electrolytes and Potassium: 5.9 mEq/L
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
A client with hyperkalemia is being treated 4.6 mEq/L
with drugs to improve the condition. Which
potassium level indicates that therapy is
effective?
A. 7.6 mEq/L
B. 5.6 mEq/L
C. 4.6 mEq/L
D. 2.6 mEq/L
A client is admitted with hypokalemia and Respirations
skeletal muscle weakness. Which assessment
does the nurse perform first?
A. Blood pressure
B. Pulse
C. Respirations
D. Temperature
A client develops fluid overload while in the Elevates the head of the bed
intensive care unit. Which nursing
intervention does the nurse perform first?
A. Draws blood for laboratory tests
B. Elevates the head of the bed
C. Places the extremities in a dependent
position
D. Puts the client in a side-lying position
A nurse is assessing a client with Muscular weakness
hyponatremia. Which finding requires
immediate action?
A. Diminished bowel sounds
B. Heightened acuity
C. Muscular weakness
D. Urine output of 35 mL/hr
A nurse is teaching a group of unlicensed "Offer fluids that they prefer frequently and on a regular
assistive personnel (UAP) about fluid intake schedule."
principles for older adults. What does the
nurse tell them?
A. "Be careful not to overload them with too
many oral fluids."
B. "Offer fluids that they prefer frequently
and on a regular schedule."
C. "Restrict their fluids in the evening hours if
they are incontinent."
D. "Wake them every 2 hours during the
night with a drink."
, A nurse is caring for a client who is receiving Hourly deep tendon reflexes (DTRs)
intravenous (IV) magnesium sulfate
(MgSO4). Which assessment parameter is
critical?
A. 24-hour urine output
B. Asking the client about feeling depressed
C. Hourly deep tendon reflexes (DTRs)
D. Monitoring of serum calcium levels
The charge nurse on a medical-surgical unit 76-year-old with poor skin turgor who has a serum osmolarity
is completing assignments for the day shift. of 300 mOsm/L
Which client is assigned to the LPN/LVN?
A. 44-year-old with congestive heart failure
(CHF) who has gained 3 pounds since the
previous day
B. 58-year-old with chronic renal failure
(CRF) who has a serum potassium level of 6
mEq/L
C. 76-year-old with poor skin turgor who
has a serum osmolarity of 300 mOsm/L
D. 80-year-old with 3+ peripheral edema
who has crackles throughout the posterior
chest
The client is a 69-year-old woman with RN who has floated from the intensive care unit
uncontrolled diabetes, polyuria, and a
blood pressure of 86/46. Which staff
member is assigned to care for her?
A. LPN/LVN who has floated from the
hospital's long-term care unit
B. LPN/LVN who frequently administers
medications to multiple clients
C. RN who has floated from the intensive
care unit
D. RN who usually works as a diabetic
educator
A nurse is planning care for a 72-year-old Offering fluids to drink every hour
resident of a long-term care facility who has
a history of dehydration. Which action does
the nurse delegate to unlicensed assistive
personnel (UAP)?
A. Assessing oral mucosa for dryness
B. Choosing appropriate oral fluids
C. Monitoring skin turgor for tenting
D. Offering fluids to drink every hour
An RN is caring for a client with end-stage Placing the client in a semi-Fowler's position
liver disease that has resulted in ascites.
Which action does the RN delegate to
unlicensed assistive personnel (UAP)?
A. Assessing skin integrity and abdominal
distention
B. Drawing blood from a central venous line
for electrolyte studies
C. Evaluating laboratory study results for the
presence of hypokalemia
D. Placing the client in a semi-Fowler's
position
