Rasmussen PN2 Exam 1 Questions and Answers with complete solution

A client with a calcium level of 14 mg/dL is being cared for on the medical unit. Nursing actions included in the care plan will include which of the following? A. Auscultating lung sounds every 4 hours B. Maintaining the client on bed rest C. Monitoring for bounding pulses D. Provide continuous IV fluid infusion as ordered - Answer-Provide continuous IV fluid infusion as ordered. A client with renal failure who has been taking aluminum hydroxide/magnesium hydroxide suspension at home for indigestion is somnolent and has decreased deep tendon reflexes. Which action should the nurse take first? A. Notify the client's health care provider B. Check the chart for the most recent (blood urea nitrogen) BUN and creatinine levels C. Administer magnesium IV replacement as ordered D. Review the magnesium level on the client's chart - Answer-Check the chart for the most recent (blood urea nitrogen) BUN and creatinine levels A client has the following arterial blood gas (ABG) results: pH 7.30, HC03: 22 mEq/L, PaCO2: 67 mmHG, PaO2: 66 mmHg. Which intervention by the nurse takes priority? A. Administer mucolytic B. Provide oxygen via nasal cannula C. Administer bronchodilator D. Assess the client's airway - Answer-D. Assess the client's airway The nurse is assessing an elderly client receiving IV fluids. Which of th following would not indicate fluid volume overload? A. Distended neck veins when positioned at 45 degreesB. Pitting edema of the lower extremities C. Dry mucous membranes D. Course crackles in the lung field - Answer-Dry mucous membranes A nurse is preparing to infuse a 400mL unit of packed red blood cells (PRBCs) over 4 hours. The drop factor of the manual IV tubing is 50 gtts/mL. What is the infusion rate in gtts/min? (Round the answer to the nearest whole number) - Answer-83 A nurse is preparing to administer intravenous ibuprofen in 400mg IV to her client diagnosed with a urinary tract infection. The medication is available as 400mg/100mL normal saline solution. The order is to infuse the 50mL bag in 30 min. What is the rate in mL/hr the nurse must infuse the medication? (Round to the nearest whole number) - Answer-200 Immediately after having surgery to create an ileostomy, which goal has the highest priority? A. Maintain fluid and electrolyte balance B. Providing relief from constipation C. Minimizing odor formation D. Assisting the client with self-care activities - Answer-Maintain fluid and electrolyte balance