1. A nurse is planning care for a client who is receiving mechanical ventilation. Which of the
following actions should the nurse include in the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr: A
Use electronic tablet computer, programmable speech generating device, alphabet board,
pencil and paper, etc
--
B, keep head of bed higher than 30 degrees to prevent aspiration and ventilator associated
pneumonia.Turn the client q 2hr to prevent complications related to immobility
C, assess the need to suction q 2-4 hr, but not perform routine suctioning. Base the need for
suctioning on assessments, not a schedule. Unnecessary suctioning can cause bronco
spasms and injury tracheal mucosa
D, oral hygiene should be performed q 2 hr to decrease the risk of ventilator associated
,pneumonia
2. A nurse is caring for a client who is receiving IV fluid replacement therapy for
dehydration. Which of the following laboratory results indicates effective- ness of the
treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62%: C
Within the expected range of 1.005-1.030
--
A, sodium range is 136-145 B,
potassium range is 3.5-5 D,
Hct range is 37%-52%
,3. A nurse is monitoring the laboratory findings for a client who is postoper- ative
following a total hip arthroplasty 6 hr ago.Which of the following values indicates that the
client has an increased risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million: C
platelet range is 150,000-400,000
--
A, PT range is 11-12.5
B, aPTT range is 30-40 seconds
D, RBC range is 4.2-6.1 million. A low RBC can indicate that bleeding has occurred, but it does
not indicate that the client is at risk for bleeding
4. A nurse is admitting a client who has a cervical spinal cord injury following a motor
vehicle crash.Which of the following interventions is the nurse's priority while caring for
this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing: D
The greatest risk to a client who has a cervical spinal cord injury is an obstructed airway; the
, priority is to ensure the client can clear their airway. Apply abdominal pressure as the client
coughs (quad coughing)
5. A nurse is caring for a client who is receiving a blood transfusion. Which of the following
findings indicates that the client is experiencing transfusion-as- sociated circulatory
overload
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia: C
Dyspnea is an indication of possible transfusion associated circulatory overload, leading to
hypertension, bounding pulses, and confusion.Dyspnea can also indicate transfusion related
acute lung injury to an anaphylactic response, which also causes
following actions should the nurse include in the plan
A. Provide the client with a means of communication
B. Maintain the head of the client's bed in a flat position
C. Suction the client's endotracheal tube every 4 hr
D. Perform oral hygiene for the client every 8 hr: A
Use electronic tablet computer, programmable speech generating device, alphabet board,
pencil and paper, etc
--
B, keep head of bed higher than 30 degrees to prevent aspiration and ventilator associated
pneumonia.Turn the client q 2hr to prevent complications related to immobility
C, assess the need to suction q 2-4 hr, but not perform routine suctioning. Base the need for
suctioning on assessments, not a schedule. Unnecessary suctioning can cause bronco
spasms and injury tracheal mucosa
D, oral hygiene should be performed q 2 hr to decrease the risk of ventilator associated
,pneumonia
2. A nurse is caring for a client who is receiving IV fluid replacement therapy for
dehydration. Which of the following laboratory results indicates effective- ness of the
treatment
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62%: C
Within the expected range of 1.005-1.030
--
A, sodium range is 136-145 B,
potassium range is 3.5-5 D,
Hct range is 37%-52%
,3. A nurse is monitoring the laboratory findings for a client who is postoper- ative
following a total hip arthroplasty 6 hr ago.Which of the following values indicates that the
client has an increased risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million: C
platelet range is 150,000-400,000
--
A, PT range is 11-12.5
B, aPTT range is 30-40 seconds
D, RBC range is 4.2-6.1 million. A low RBC can indicate that bleeding has occurred, but it does
not indicate that the client is at risk for bleeding
4. A nurse is admitting a client who has a cervical spinal cord injury following a motor
vehicle crash.Which of the following interventions is the nurse's priority while caring for
this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing: D
The greatest risk to a client who has a cervical spinal cord injury is an obstructed airway; the
, priority is to ensure the client can clear their airway. Apply abdominal pressure as the client
coughs (quad coughing)
5. A nurse is caring for a client who is receiving a blood transfusion. Which of the following
findings indicates that the client is experiencing transfusion-as- sociated circulatory
overload
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia: C
Dyspnea is an indication of possible transfusion associated circulatory overload, leading to
hypertension, bounding pulses, and confusion.Dyspnea can also indicate transfusion related
acute lung injury to an anaphylactic response, which also causes
