Module 10-Physiological Health Problems (solved)
A nurse is assigned to care for 4 clients on the med-surg unit. Which client should the nurse see first on the shift assessment correct answers A client with new-onset SOB and a hx of pulm edema A client with gastroenteritis who has been vomiting and has diarrhea is admitted to the hospital with a dx of dehydration. For which clinical manifestations that correlate with this fluid imbalance would the nurse assess the client SATA a) increased BP b) decreased resp depth c) increased resp rate d) decreased HR e) decreased UOP correct answers c, e a nurse is reviewing the medical records of the clients whom she is assigned on the 7a-7p shift. Which client will the nurse monitor most closely for excessive fluid vol correct answers an 85 y/o client receiving IV therapy at a rate of 100mL/hr a nurse is caring for a client who is being treated for congestive HF and has been assigned a nursing dx of excessive fluid vol. Which assessment finding causes the nurse to determine that the client's condition has improved correct answers wt loss of 4lbs in 24 hours a nurse notes that a client has ST segment depression on the ECG monitor. with which serum K reading does the nurse associate this finding correct answers 3.1 mEq/L a HCP writes a rx for the administration of IV KCL to a client with hypokalemia. What does the nurse plan to do when preparing and administering this med correct answers ensure that the med is diluted in an appropriate amount of NS sltn a nurse notes that a client's serum K level is 5.8. The nurse interprets this as an expected finding in the client with correct answers Addison's Disease A nurse is caring for a client experiencing hyponatremia who was admitted to the med-surg unit with FVO. For which clinical manifestations of this electrolyte imbalance does the nurse monitor this client SATA a) decreased UOP b) hyperactive bs c) skeletal muscle weakness d) hyperactive DTR e) slow HR correct answers b, c A nurse is monitoring a client with hyperparathyroidism for signs of hypercalcemia. For which clinical manifestations, associated with this electrolyte imbalance, does the nurse assess the client SATA a) increased UOP
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a nurse is assigned to care for 4 clients on the med surg unit which client should the nurse see first on the shift assessment
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