NR 226 Final Exam Questions With Correct Answers Latest 2023/2024 (VERIFIED GRADED A+)

A nurse is assessing a client who had diarrhea for 4 days. Which of the following findings should the nurse expect? Select all that apply ATI funds book, pg 249, #3 a. Bradycardia – tachycardia due to dehydration b. Hypotension – prolonged diarrhea (4 days) c. Elevated temperature- with dehydration d. Poor skin turgor – with dehydration e. Peripheral edema 16. A nurse is collecting data from a client who is receiving IV therapy and reports pain in the arm, chills, and “not feeling well”. The nurse notes warmth, edema, redness and red streaking on the client’s arm close to the IV insertion site. Which of the following actions should the nurse plan to take first? ATI funds book, pg 304, #2 a. Obtain a specimen for culture – not priority b. Apply a warm compress – not priority c. Administer analgesics – not priority d. Discontinue the infusion – do this first to prevent further injury Test taking strategy: what do you do first/next? Priority question. These are all interventions. The nurse has already done a thorough assessment above and needs to take action Question: what is wrong with this IV? (phlebitis). What does infiltration look like? - skin taut, edema, cool to touch, blanched 17. The nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. The nurse should not expect which of the following findings? Select all that apply. ATI Funds, pg 357, # 1 ( question has been modified) a. Flat neck veins - expected b. Thready pulse – expected (very fine and barely perceptible) c. Syncope - expected d. dark urine e. postural hypotension- with change of position 18. A nurse is receiving a laboratory report for a client indicating a potassium level of 5.2 mEq/L. When notifying the provider, the nurse should expect which of the following actions? ATI funds, pg 364, #3 a. Starting an IV infusion of 0.9% sodium chloride- you would use dextrose to promote movement of potassium from ECF to ICF b. Consulting with the dietician to increase intake of potassium- K is too high already c. Initiating continuous cardiac monitoring – EKG changes d. Preparing the patient for gastric lavage – maybe dialysis if it becomes severe Review tables 42-3 and 42-5 to review: causes of imbalance, signs and symptoms. Also PPT slides with pneumonics.