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NR324 Exam 1 Chamberlain Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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NR324 Exam 1 Chamberlain Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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NR324 Exam 1 Chamberlain
Comprehensive Questions
(Frequently Tested) and Complete
Solutions Graded A+
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Which diagnostic tests are used to identify altered fluid balance in the
body? Select all that apply.



Complete blood count

,Urine and serum osmolality

Blood culture and sensitivity

Comprehensive metabolic panel

Colonoscopy - Answer: Complete blood count

Urine and serum osmolality

Comprehensive metabolic panel



The nurse is caring for a client with fluid volume excess. Which
medication will help the body excrete the excess fluid?



Metoprolol

Tamsulosin

Verapamil

Furosemide - Answer: Furosemide



The nurse is caring for a client who presents to the emergency
department with shortness of breath. Assessment findings include
crackles heard in lower lung fields, tachycardia, hypertension, and
oliguria. Which fluid imbalance is the client most likely experiencing?



Fluid volume deficit

,Renal failure

Dehydration

Fluid volume excess - Answer: Fluid volume excess



The nurse is caring for several clients with altered fluid balance. Which
diagnostic tests can determine if a client's condition is worsening or
improving? Select all that apply.



Chest x-ray

Comprehensive metabolic panel (CMP)

Urine culture and sensitivity

Complete blood count (CBC)

Fasting blood glucose test - Answer: Chest x-ray

Comprehensive metabolic panel (CMP)

Complete blood count (CBC)



The client with fluid volume deficit has been receiving 0.9% sodium
chloride intravenous (IV) infusion at 150 ml/hr for the past 4 hours.
Which assessment finding indicates that the client is developing fluid
volume overload?

, Poor skin turgor over the front of the chest under the collarbone

Capillary refill of the left great toe less than 3 seconds

Crackles heard with auscultation of the lower lung fields

Blood pressure 85/45 mmHg - Answer: Crackles heard with
auscultation of the lower lung fields



A nurse is caring for a client in the emergency department. Review the
electronic health record (EHR).



Past medical history: Heart failure, ex-smoker (15 pack years)

Past surgical history: Coronary artery bypass graft x 4 (5 years ago)



Prescribed medications:

furosemide 20 mg by mouth once daily

lisinopril 25 mg by mouth once daily

atorvastatin 25 mg by mouth once daily at bedtime

albuterol INH every 4 hours as needed for shortness of breath

aspirin 80 mg by mouth once daily

famotidine 20 mg by mouth once daily

Over-the-counter medications:

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