Acute Final Exam 2022/2023 with 100% correct answers

A nurse is working with an older client admitted with mild dehydration. What teaching does the nurse provide to best address this issue? Have something to drink every 1 to 2 hours. A nurse teaches clients at a community center about risks for dehydration. Which client is at greatest risk for dehydration? A 76-year-old who is cognitively impaired A nurse is caring for a client who exhibits dehydration-induced confusion. Which intervention should the nurse implement first? Apply oxygen by mask or nasal cannula. After teaching a client who is being treated for dehydration, a nurse assesses the clients understanding. Which statement indicates the client correctly understood the teaching? I will weigh myself each morning before I eat or drink. A nurse is evaluating a client who is being treated for dehydration. Which assessment result should the nurse correlate with a therapeutic response to the treatment plan? Decreased orthostatic light-headedness and dizziness A nurse is caring for an older adult client who is admitted with moderate dehydration. Which intervention should the nurse implement to prevent injury while in the hospital? Dangle the client on the bedside before ambulating. A nurse works at a community center for older adults. What self-management measure can the nurse teach the clients to prevent shock? Drink fluids on a regular schedule. A nurse cares for an older adult client who has Salmonella food poisoning. The clients vital signs are heart rate: 102 beats/min, blood pressure: 98/55 mm Hg, respiratory rate: 22 breaths/min, and oxygen saturation: 92%. Which action should the nurse complete first? Administer intravenous fluids. A nurse cares for a client who has a serum potassium of 7.5 mEq/L and is exhibiting cardiovascular changes. Which prescription should the nurse implement first? Prepare to administer dextrose 20% and 10 units of regular insulin IV push. A client at risk for developing hyperkalemia states, I love fruit and usually eat it every day, but now I cant because of my high potassium level. How should the nurse respond? Berries, cherries, apples, and peaches are low in potassium A nurse is assessing a client who has an electrolyte imbalance related to renal failure. For which potential complications of this electrolyte imbalance should the nurse assess? (Select all that apply.) Electrocardiogram changes, Paralytic ileus, Skeletal muscle weakness A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L. What action should the nurse take next? Assess clients rate, rhythm, and depth of respiration. A nurse assesses a client who is prescribed furosemide (Lasix) for hypertension. For which acid-base imbalance should the nurse assess to prevent complications of this therapy? Metabolic alkalosis A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure. The clients arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3 22 mEq/L. Which action should the nurse take first? Apply oxygen by mask or nasal cannula.