NURS 170 Exam 4

A 7-year-old patient was admitted to the hospital with a high fever. The nurse caring for the child knows that the child has increased insensible water loss resulting from the fever and should receive additional water to prevent hypernatremia. Insensible water loss occurs through which organ? - ans -- A 76-year-old patient is hospitalized with pneumonia and has become increasingly confused throughout the shift. The nurse becomes concerned about the patient's condition and contacts the health care provider, who orders arterial blood gas analysis. The blood gas report shows a pH of 7.29, PaCO2 of 50, PaO2 of 78, and bicarbonate of 26. This indicates which imbalance? - ans -- A patient's arterial blood gas levels indicate a pH of 7.51, PaCO2 of 40 mm Hg, PaO2 of 85 mm Hg, and HCO3 of 32 mEq/L. The patient has been vomiting. The nurse knows the patient has which imbalance? - ans -- Which patient has the greatest risk for fluid volume deficit? A: - ans -- A patient has heart failure and is at risk for fluid volume excess. To monitor the patient closely, nurse will: - ans -- The patient is unable to eat and there are no bowel sounds, indicating that the bowels are not functioning. The best approach to providing nourishment will be: - ans -- A nurse is mentoring a new nurse who is learning to start intravenous therapy. The nurse tells the new nurse that in case the patient needs subsequent venipuncture sites, the best place to initially start an IV is the: - ans -- During a clinical rotation at an orthopedic unit, a nursing student is caring for a 67-year-old patient who has undergone a knee replacement. The patient is complaining of pain at the IV site. The nursing student assesses the site and finds that the site is cool and pale. The student stops the IV and reports the situation to the nurse. What does the nursing student suspect? - ans --