A nurse is teaching wellness to a women's group. The nurse
should explain the importance of consuming at least how many
8-ounce servings of fluid to promote healthy bowel function?
2 to 3
4 to 5
6 to 8
9 to 10 Correct Answers 6 to 8
A nurse researcher is designing a research project. After
identifying and stating the problem, the nurse researcher
clarifies the purpose of the study. Which step in the research
process should be completed next?
Perform a literature review.
Develop a conceptual framework.
Formulate the hypothesis.
Define the study variables. Correct Answers Perform a
literature review.
A patient has been admitted to the ICU with CHF. He has an
order to have his CVP measured, the RN takes the first reading
using a manometer and gets 6cmH2O. What should the nurse do
with these findings?
Nothing, this is within the normal range.
Assess the patient for fluid overload as this is an abnormal
reading
Notify the provider immediately
Request the fluid receive fluids, as this is a sign of dehydration
Correct Answers Nothing, this is within the normal range.
,A patient has been diagnosed with hypovolemia. Which
hydration prescription should the nurse question? Select all that
apply
0.9% (normal) saline at 100 mL/hr
Lactated Ringer's solution at 100 mL/hr
Total parenteral nutrition solution at 100 mL/hr
D5W solution at 100 mL/hr
D5 0.9% NaCl at 100 mL/hr Correct Answers Total parenteral
nutrition solution at 100 mL/hr
D5W solution at 100 mL/hr
D5 0.9% NaCl at 100 mL/hr
A patient has been vomiting for 2 days, has not been able to eat
or drink anything during this time, and has not urinated for 12
hours. Physical examination reveals the following: T = 99.6°F
(37.6°C) orally; P = 110 beats/min weak and thready; BP =
80/52 mm Hg. Skin and mucous membranes are dry, there is
decreased skin turgor, and the patient is experiencing weakness.
The following are the most recent laboratory results: Sodium138
mEq/L Potassium 3.7 mEq/L Calcium 9.2 mg/dL Magnesium1.8
mg/dL Chloride 99 mEq/L BUN 29 mg/dL Which is an
appropriate nursing diagnosis for this patient?
Impaired Gas Exchange related to ineffective breathing
Excess Fluid Volume related to limited fluid output
Deficient Fluid Volume related to abnormal fluid loss
Electrolyte Imbalance related to decreased oral intake Correct
Answers Deficient Fluid Volume related to abnormal fluid loss
A patient's blood group is B. From which donor groups can this
patient receive blood? Select all that apply.
A
, B
O
AB Correct Answers B
O
A patient's vital signs prior to a blood transfusion were T =
97.6°F (36.4°C); P = 72 beats/min; R = 22 breaths/min; and BP
= 132/76 mm Hg. Twenty minutes after the transfusion started,
the patient began complaining of feeling "itchy and hot" and a
new rash is present on the patient's trunk. Vital signs are now T
= 100.8°F (38.2°C); P = 82 beats/min; R = 24 breaths/min; BP =
146/88 mm Hg. Based on these findings, what is the priority
intervention?
Administer an antihistamine (anti-allergenic) medication.
Flush the blood tubing with D5W immediately.
Prepare for emergency resuscitation.
Stop the blood transfusion immediately. Correct Answers Stop
the blood transfusion immediately.
A process that separates materials based on the size of their
particles. Correct Answers filtration
a systematic, objective process of analyzing phenomena in
importance of nursing Correct Answers Nursing research
Acceptable indications for foley catheter Correct Answers
Surgery
Distended bladder
Someone with no control of bladder, risk of skin breakdown
Hospice
ICU - strict Is & Os for kidney function indication