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NR341 Complex Adult Health- quiz 3 2025.

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NR341 Complex Adult Health- quiz 3 2025.

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July 24, 2025
Number of pages
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NR341 Complex Adult Health- quiz 3


Adult complex care (Chamberlain University)




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Complex Adult Health- quiz 3

1) The nurse is caring for a client experiencing a decrease in preload due to
hypovolemia. Which action will support an increase in preload and cardiac output?

Administer intravenous bolus 0.9% normal saline.

2) The nurse is caring for a patient diagnosed with acute respiratory
distress syndrome (ARDS). Which factor contributes to fluid retention
during mechanical ventilation?

Decreased renal perfusion with release of renin

3) An elderly client with severe dehydration is admitted to the intensive
care unit (ICU) after being found unconscious on the floor of her home.

Laboratory results include:

• sodium 122 mEq/L
• hematocrit 56%
• BUN 38 mg/dL

The provider orders intravenous administration of D5W at 200 ml/hour to
treat hypovolemia. Several hours after the infusion is started, the patient
has a generalized seizure. Which statement most accurately describes the
cause of the seizure?

Administration of sodium-free fluids causes cerebral cellular swelling.

4) Hemodynamic monitoring reveals:

• CVP 9 mm Hg
• PAWP 17 mm Hg

Which finding should the nurse anticipate?

Hepatomegaly

Jugular vein distention




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