nur 235 exam 3
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1. The nurse is caring for a client with heart failure who is C. Hyperactive bowel
receiving high doses of a diuretic. On assessment, the sounds
nurse notes that the client has flat neck veins, gener-
alized muscle weakness, and diminished deep tendon
reflexes. The nurse suspects hyponatremia. What ad-
ditional signs would the nurse expect to note in a client
with hyponatremia?
A. Muscle twitches
B. Decreased Urinary output
C. Hyperactive bowel sounds
D. Increased specific gravity of the urine
2. A nurse is caring for a client with a nasogastric tube C. 0.9% Sodium Chloride
(NGT) who has a prescription for NGT irrigation once
every 8 hours. To maintain homeostasis, which solu-
tion should the nurse use to irrigate the NGT?
A. Tap wate
rB. Sterile Water
C. 0.9% Sodium Chloride
D. 0.45% Sodium Chloride
3. The nurse is preparing to care for a client with a potas- B. Requires Nasogastric
sium deficit. The nurse reviews the client's record and suction
determines that the client was at risk for developing
the potassium deficit because of which situation?
A. Sustained tissue damage
B. Requires Nasogastric suction
C. Has a history of Addison's disease
D. Is taking a potassium-retaining diuretic
4. During an assessment of a newly admitted client, A. Dehydration
the nurse notes that the client's heart rate is 110
, nur 235 exam 3
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beats/minute, his blood pressure shows orthostatic
changes when he stands up, and his tongue has a
sticky, paste-like coating. The client's spouse tells the
nurse that he seems a little confused and unsteady
on his feet. Based on these assessment findings, the
nurse suspects that the client has which condition?
A. Dehydration
B. Hypokalemia
C. Fluid Overload
D. Hypernatremia
5. The nurse is performing an assessment on a client ad- C. Changes in mental sta-
mitted to the hospital with a diagnosis of dehydration. tus
Which assessment finding should the nurse expect to
note?
A. Bradycardia
B. Elevated blood pressure
C. Changes in mental status
D. Bilateral crackles in the lung
6. A nurse is planning care for a client with hypokalemia. A. Ensure adequate fluid
Which interventions should be included in the plan of intake.
care? Select all that apply. B. Implement safety mea-
A. Ensure adequate fluid intake. sures to prevent falls
B. Implement safety measures to prevent falls .D. Instruct the client about
C. Encourage low fiber foods to prevent diarrhea foods that contain potassi-
.D. Instruct the client about foods that contain potas- um.
sium. E. Encourage the client to
E. Encourage the client to obtain assistance to ambu- obtain assistance to am-
late. bulate.
7. A. The Skin
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1. The nurse is caring for a client with heart failure who is C. Hyperactive bowel
receiving high doses of a diuretic. On assessment, the sounds
nurse notes that the client has flat neck veins, gener-
alized muscle weakness, and diminished deep tendon
reflexes. The nurse suspects hyponatremia. What ad-
ditional signs would the nurse expect to note in a client
with hyponatremia?
A. Muscle twitches
B. Decreased Urinary output
C. Hyperactive bowel sounds
D. Increased specific gravity of the urine
2. A nurse is caring for a client with a nasogastric tube C. 0.9% Sodium Chloride
(NGT) who has a prescription for NGT irrigation once
every 8 hours. To maintain homeostasis, which solu-
tion should the nurse use to irrigate the NGT?
A. Tap wate
rB. Sterile Water
C. 0.9% Sodium Chloride
D. 0.45% Sodium Chloride
3. The nurse is preparing to care for a client with a potas- B. Requires Nasogastric
sium deficit. The nurse reviews the client's record and suction
determines that the client was at risk for developing
the potassium deficit because of which situation?
A. Sustained tissue damage
B. Requires Nasogastric suction
C. Has a history of Addison's disease
D. Is taking a potassium-retaining diuretic
4. During an assessment of a newly admitted client, A. Dehydration
the nurse notes that the client's heart rate is 110
, nur 235 exam 3
Study online at https://quizlet.com/_f5rg20
beats/minute, his blood pressure shows orthostatic
changes when he stands up, and his tongue has a
sticky, paste-like coating. The client's spouse tells the
nurse that he seems a little confused and unsteady
on his feet. Based on these assessment findings, the
nurse suspects that the client has which condition?
A. Dehydration
B. Hypokalemia
C. Fluid Overload
D. Hypernatremia
5. The nurse is performing an assessment on a client ad- C. Changes in mental sta-
mitted to the hospital with a diagnosis of dehydration. tus
Which assessment finding should the nurse expect to
note?
A. Bradycardia
B. Elevated blood pressure
C. Changes in mental status
D. Bilateral crackles in the lung
6. A nurse is planning care for a client with hypokalemia. A. Ensure adequate fluid
Which interventions should be included in the plan of intake.
care? Select all that apply. B. Implement safety mea-
A. Ensure adequate fluid intake. sures to prevent falls
B. Implement safety measures to prevent falls .D. Instruct the client about
C. Encourage low fiber foods to prevent diarrhea foods that contain potassi-
.D. Instruct the client about foods that contain potas- um.
sium. E. Encourage the client to
E. Encourage the client to obtain assistance to ambu- obtain assistance to am-
late. bulate.
7. A. The Skin
