NSG 3100 Exam 4 (Questions and Answers A+ Graded 100% Verified)

NSG 3100 Exam 4 (Questions and Answers A+ Graded 100% Verified) When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the status of which body system? CORRECT ANS:Neurological While assisting the client with meal selection, the nurse realizes that clients who practice Islam or Judaism share an avoidance of: CORRECT ANS:pork products. The client wants to increase intake of an antioxidant in her diet. The nurse recommends including vitamin C, which is best found in: CORRECT ANS:Correct Answer: tomatoes. For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects signs and symptoms consistent with: CORRECT ANS:Correct Answer: metabolic acidosis. Which of the following techniques used by the new staff nurse for administering medications via an enteral tube requires correction by the charge nurse? CORRECT ANS:Correct Answer: Adding the medications to the tube feeding After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to recommend which one of the following foods for this client? CORRECT ANS:Correct Answer: Yogurt While doing a nutritional assessment of a low-income family, the community health nurse determines that the family's diet is inadequate in protein content. The nurse suggests which of the following lower-cost foods to increase protein content? CORRECT ANS:Correct Answer: Beans The client has had throat surgery and is placed on a clear liquid diet. The nurse should offer the patient: CORRECT ANS:Correct Answer: apple juice. The majority of body fluid is located in which area? CORRECT ANS:Correct Answer: Intracellular The nurse recognizes that the client, on the basis of the imbalance that is present, will require fluid replacement with isotonic solution. One of the isotonic solutions that may be ordered by the physician is: CORRECT ANS:Correct Answer: Lactated Ringer solution. One of the first indications of fluid volume deficit is: CORRECT ANS:Correct Answer: tachycardia. For the client with a vitamin D deficiency and inadequate calcium intake, the nurse observes for: CORRECT ANS:Correct Answer: Chvostek sign Chvostek sign CORRECT ANS:an abnormal reaction to the stimulation of the facial nerve. A nasogastric tube is inserted in order for the client to receive intermittent tube feedings. The action by the nurse that requires correction by the unit manager is: CORRECT ANS:Correct Answer: instilling air into the NG tube to check for placement. The mucous membranes of a normally hydrated individual are: CORRECT ANS:Correct Answer: moist. Of the following clients, the nurse recognizes that the individual who is most at risk for a fluid volume deficit is: CORRECT ANS:Correct Answer: 42-year-old with severe vomiting. The single best indicator of fluid status is the nurse's assessment of the client's: CORRECT ANS:Correct Answer: daily body weight The nurse is inserting a nasogastric tube. During the insertion, the client starts to gag and becomes dyspneic. Which action should the nurse take? CORRECT ANS:Correct Answer: Withdraw the tube and start again. It is recommended that adults consume approximately how much of their diet from carbohydrates? CORRECT ANS:Correct Answer: 50% A critical measure for clients with hypocalcemia and hypomagnesemia is: CORRECT ANS:Correct Answer: implementing seizure precautions. For the client who needs fluid replacement, which of the following should be avoided? CORRECT ANS:Coffee Albumin levels indicate prolonged malnutrition. CORRECT ANS:True Causes of hyponatremia include CORRECT ANS:Excessive diaphoresis Diuretics Wound drainage Hyponatremia CORRECT ANS:low sodium causes of hypernatremia CORRECT ANS:Fever Diarrhea Excessive sodium intake Hypernatremia CORRECT ANS:high sodium An example of hemoconcentration seen in dehydration is increased hematocrit levels. T or F CORRECT ANS:True Signs of fluid overload CORRECT ANS:High BP Pitting edema in lower extremities Mental confusion Moist crackles Which is a sign/symptom of hypernatremia? CORRECT ANS:Thirst hypokalemia CORRECT ANS:low potassium Causes of hypokalemia CORRECT ANS:Prolonged NGT suction Heavy perspiration Diarrhea Potassium must always be diluted appropriately and never given IV push. T or F CORRECT ANS:True Signs and symptoms of hypokalemia CORRECT ANS:Muscle weakness Leg cramps Decreased deep tendon reflexes Weak irregular pulses Hypocalcemia CORRECT ANS:deficient calcium in the blood Signs and symptoms of hypocalcemia CORRECT ANS:Numbness and tingling of extremities Positive Chvostek's sign Cardiac dysrhythmias respiratory acidosis CORRECT ANS:A drop in blood pH due to hypoventilation (too little breathing) and a resulting accumulation of Co2. Causes of respiratory acidosis CORRECT ANS:Aspiration of foreign body Overdose of narcotics or sedatives Chronic lung disease metabolic alkalosis CORRECT ANS:metabolic condition in which the pH of tissue is elevated beyond the normal range cause of metabolic alkalosis CORRECT ANS:Vomiting Antacids Potassium draining diuretics dysphagia CORRECT ANS:difficulty swallowing A client with dysphagia can be observed doing this while eating CORRECT ANS:Coughing/gagging Improving appetite includes what actions? CORRECT ANS:Small portions Oral hygiene Relieve illness symptoms