Detailed Answer Key RN 231 Quiz 2_Cloned_Assessment 1

Detailed Answer Key RN 231 Quiz 2_Cloned_Assessment 1 1. A client with increased right ventricular preload has a central venous pressure (CVP) monitoring catheter in place. The nurse should expect which of the following (CVP) measurements? A. 1 mm Hg Rationale: A CVP below 2 mm Hg indicates reduced right ventricular preload, typically from hypovolemia. B. 3 mm Hg Rationale: This CVP is within the expected reference range. C. 5 mm Hg Rationale: This CVP is within the expected reference range. D. 7 mm Hg Rationale: A CVP above 6 mm Hg indicates an increased right ventricular preload, typically from hypervolemia. 2. A nurse is assessing a client who is postoperative and has anemia due to excess blood loss during surgery. The nurse should expect which of the following findings? A. Fatigue Rationale: Fatigue is an expected finding with a client who has anemia due to surgical blood loss. This is because of the decreased ability of the body to carry oxygen to vital tissues and organs. B. Respiratory depression Rationale: Tachypnea is more likely than respiratory depression in a client who has anemia due to blood loss. C. Bradycardia Rationale: Tachycardia is more likely than bradycardia in a client who has anemia due to blood loss. D. Muscle cramps Rationale: Anemia from blood loss is unlikely to cause muscle cramps, although it can cause other painful manifestations, such as angina. 3. A nurse assessing a client determines that he is in the compensatory stage of shock. Which of the following findings support this conclusion? A. Confusion Rationale: Confusion characterizes the compensatory stage of shock, as do decreased urinary output, cold and clammy skin, and respiratory alkalosis.