Complete Solutions
The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Which
assessment data will be of most concern to the nurse? B/P is 90/40
A patient with multiple draining wounds is admitted for hypovolemia. Which assessment would
be the most accurate way for the nurse to evaluate fluid balance? Daily weight
A patient with new-onset confusion and hyponatremia is being admitted. When making room
assignments, the charge nurse should take which action? Assign the patient to a room near
the nurse's station
IV potassium chloride (KCl) 60 mEq is prescribed for treatment of a patient with severe
hypokalemia. Which action should the nurse take? Infuse the KCl at 10 mEq/hr
A patient receives 3% NaCl solution for correction of hyponatremia. Which assessment is most
important for the nurse to monitor for while the patient is receiving this infusion? Lung
sounds
, Brcc Adult I Final Exam Questions With
Complete Solutions
The nurse is caring for a patient who has a calcium level of 12.1 mg/dL. Which nursing action
should the nurse include on the care plan? Encourage fluid intake up to 4000 mL every
day
When caring for a patient with renal failure on a low phosphate diet, the nurse will inform UAP
to remove which food from the patient's food tray? Skim Milk
A patient has a magnesium level of 1.3. Which assessment would help the nurse identify a likely
cause of this value? Daily alcohol intake
The nurse assesses a patient who has been hospitalized for 2 days. The patient has been receiving
normal saline IV at 100 mL/hr, has a nasogastric tube to low suction, and is NPO. Which
assessment finding would be a priority for the nurse to report to the health care provider?
Gradually decreasing level of consciousness (LOC)
A nurse is assessing a newly admitted patient with chronic heart failure who forgot to take
prescribed medications and seems confused. The patient has peripheral edema and shortness of
breath. Which assessment should the nurse complete first? Mental Status