Complex Health Quiz 1-4
Complex health exam 1
The nurse is planning care for a patient with fluid volume overload and hyponatremia. Which
intervention should be included in this patient's plan of care?
Administer Intravenous fluids
Restrict fluids
Provide Kayexalate (sodium polystyrene sulfonate)
Administer intravenous Normal Saline with Furosemide (Lasix)
restrict fluids
A patient's blood gas show a pH of 7.53 and bicarbonate level of 36 mEq/L. The nurse prepares to
treat this patient for which acid-base disorder?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
Metabolic Alkalosis
A patient's serum potassium is 2.2 mEq/L. Which nursing action is the highest priority for this
patient?
Intiate cardiac monitoring
Intiate seizure precuations
Administer Sodium polystrene (Kayexalate) as prescribe Start
oxygen at 2L/ min
,initiate cardiac monitoring
A 61 year old client is admitted with pneumonia. Her ABG results are pH 7.46,
PaO2 94, PaCO2 30, HCO3 19, and SaO2 72%. The nurse interprets this as:
Metabolic
Alkalosis
Respiratory
Alkalosis
Respiratory
Acidosis
Metabolic Acidosis
Respiratory Alkalosis
A client is brought to the emergency department with a suspected narcotic
(heroin) overdose. The nurse anticipates that assessment findings and ABGs
will reveal:
restlessness and
hypoxemia agitation and
alkalosis
decreased level of consciousness and acidosis
tachypnea and acidosis
decreased level of consciousness and acidosis
A nurse is admitting a client who reports nausea, vomiting, and weakness.
Upon assessment, the client has dry oral mucous membranes, temperature
38.5 C (101.3 F), pulse 92/min, respiration 24/min, skin cool with tenting
present, and blood pressure 102/ 64 mm Hg. His urine is concentrated with a
high specific gravity. Which of the following is not a clinical manifestation of
fluid volume deficit?
Decreased skin
turgor Bradycardia
,Concentrated urine
Low-grade
fever
Bradycardia
A patient is being treated for an intestinal obstruction. The nurse inserts a
nasogastric tube and attaches it to low continuous suction. Which acid base
imbalance is the patient
, at risk for?
Respiratory
alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory
acidosis
Metabolic
alkalosis
A nurse is caring for a client who has a laboratory finding of serum
potassium 5.7 mEq/L. The nurse should assess for which of the following
clinical manifestations?
Polyuria
Constipati
on
Hypotensi
on
EKG
changes
EKG
changes
A patient is diagnosed with severe hyponatremia. The nurse realizes this
patient will mostly likely need which precautions implemented?
Hypertensive
precautions Infection
precautions
Complex health exam 1
The nurse is planning care for a patient with fluid volume overload and hyponatremia. Which
intervention should be included in this patient's plan of care?
Administer Intravenous fluids
Restrict fluids
Provide Kayexalate (sodium polystyrene sulfonate)
Administer intravenous Normal Saline with Furosemide (Lasix)
restrict fluids
A patient's blood gas show a pH of 7.53 and bicarbonate level of 36 mEq/L. The nurse prepares to
treat this patient for which acid-base disorder?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
Metabolic Alkalosis
A patient's serum potassium is 2.2 mEq/L. Which nursing action is the highest priority for this
patient?
Intiate cardiac monitoring
Intiate seizure precuations
Administer Sodium polystrene (Kayexalate) as prescribe Start
oxygen at 2L/ min
,initiate cardiac monitoring
A 61 year old client is admitted with pneumonia. Her ABG results are pH 7.46,
PaO2 94, PaCO2 30, HCO3 19, and SaO2 72%. The nurse interprets this as:
Metabolic
Alkalosis
Respiratory
Alkalosis
Respiratory
Acidosis
Metabolic Acidosis
Respiratory Alkalosis
A client is brought to the emergency department with a suspected narcotic
(heroin) overdose. The nurse anticipates that assessment findings and ABGs
will reveal:
restlessness and
hypoxemia agitation and
alkalosis
decreased level of consciousness and acidosis
tachypnea and acidosis
decreased level of consciousness and acidosis
A nurse is admitting a client who reports nausea, vomiting, and weakness.
Upon assessment, the client has dry oral mucous membranes, temperature
38.5 C (101.3 F), pulse 92/min, respiration 24/min, skin cool with tenting
present, and blood pressure 102/ 64 mm Hg. His urine is concentrated with a
high specific gravity. Which of the following is not a clinical manifestation of
fluid volume deficit?
Decreased skin
turgor Bradycardia
,Concentrated urine
Low-grade
fever
Bradycardia
A patient is being treated for an intestinal obstruction. The nurse inserts a
nasogastric tube and attaches it to low continuous suction. Which acid base
imbalance is the patient
, at risk for?
Respiratory
alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory
acidosis
Metabolic
alkalosis
A nurse is caring for a client who has a laboratory finding of serum
potassium 5.7 mEq/L. The nurse should assess for which of the following
clinical manifestations?
Polyuria
Constipati
on
Hypotensi
on
EKG
changes
EKG
changes
A patient is diagnosed with severe hyponatremia. The nurse realizes this
patient will mostly likely need which precautions implemented?
Hypertensive
precautions Infection
precautions
