nu345 exam 2 ati questions WITH |\ |\ |\ |\ |\ |\
ANSWERS
a nurse is admitting a client who reports nausea, vomiting, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weakness. the client has dry oral mucous membranes and blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pressure 102/64. which of the following findings should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
identify as manifestations of fluid volume deficit? (select all that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
apply)
a.) decreased skin turgor
|\ |\ |\
b.) concentrated urine
|\ |\
c.) bradycardia
|\
d.) low grade fever
|\ |\ |\
e.) tachypnea
|\
a.) |\ decreased skin turgor |\ |\
b.) |\ concentrated urine |\
d.) |\ low grade fever
|\ |\
e.) |\ tachypnea
a nurse is admitting an older adult client who reports a weight
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gain of 2.3 kg (5lb) in 48 hr. which of the following manifestations
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of fluid volume excess should the nurse expect? (select all that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
apply)
a.) dyspnea
|\
b.) edema |\
c.) bradycardia
|\
d.) hypertension
|\
e.) weakness
|\
a.) dyspnea
|\
b.) edema |\
, d.) hypertension
|\
e.) weakness
|\
a nurse is assessing a client who is dehydrated. which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following findings should the nurse expect?|\ |\ |\ |\ |\
a.) moist skin
|\ |\
b.) distended neck veins
|\ |\ |\
c.) increased urinary output
|\ |\ |\
d.) tachycardia
|\
d.) tachycardia
|\
a nurse is caring for a client in a long term care facility who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
become weak, confused, and experienced dizziness when
|\ |\ |\ |\ |\ |\ |\
standing. the client's temperature is 38.3C (100.9F), pulse
|\ |\ |\ |\ |\ |\ |\
92/min, respirations 20/min, and blood pressure 108/60. which of
|\ |\ |\ |\ |\ |\ |\ |\ |\
the following actions should the nurse take?
|\ |\ |\ |\ |\ |\ |\
a.) initiate fluid restrictions to limit intake
|\ |\ |\ |\ |\ |\
b.) check for peripheral edema
|\ |\ |\ |\
c.) encourage the client to ambulate to promote oxygenation
|\ |\ |\ |\ |\ |\ |\ |\
d.) monitor for orthostatic hypotension
|\ |\ |\ |\
d.) monitor for orthostatic hypotension
|\ |\ |\ |\
a nurse is caring for a client who has a blood sodium level 133
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
meq/l and blood potassium level 3.4 meq/l. the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recognize that which of the following treatments can result in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
these laboratory findings?
|\ |\
a.) three tap water enemas
|\ |\ |\ |\
b.) 0.9% sodium chloride solution IV at 50ml/hr
|\ |\ |\ |\ |\ |\ |\
c.) 5% dextrose with 0.45% sodium chloride solution with 20 meq
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of K+ IV at 80ml/hr
|\ |\ |\ |\ |\
d.) antibiotic therapy
|\ |\
a.) three tap water enemas
|\ |\ |\ |\
ANSWERS
a nurse is admitting a client who reports nausea, vomiting, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weakness. the client has dry oral mucous membranes and blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pressure 102/64. which of the following findings should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
identify as manifestations of fluid volume deficit? (select all that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
apply)
a.) decreased skin turgor
|\ |\ |\
b.) concentrated urine
|\ |\
c.) bradycardia
|\
d.) low grade fever
|\ |\ |\
e.) tachypnea
|\
a.) |\ decreased skin turgor |\ |\
b.) |\ concentrated urine |\
d.) |\ low grade fever
|\ |\
e.) |\ tachypnea
a nurse is admitting an older adult client who reports a weight
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gain of 2.3 kg (5lb) in 48 hr. which of the following manifestations
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of fluid volume excess should the nurse expect? (select all that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
apply)
a.) dyspnea
|\
b.) edema |\
c.) bradycardia
|\
d.) hypertension
|\
e.) weakness
|\
a.) dyspnea
|\
b.) edema |\
, d.) hypertension
|\
e.) weakness
|\
a nurse is assessing a client who is dehydrated. which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following findings should the nurse expect?|\ |\ |\ |\ |\
a.) moist skin
|\ |\
b.) distended neck veins
|\ |\ |\
c.) increased urinary output
|\ |\ |\
d.) tachycardia
|\
d.) tachycardia
|\
a nurse is caring for a client in a long term care facility who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
become weak, confused, and experienced dizziness when
|\ |\ |\ |\ |\ |\ |\
standing. the client's temperature is 38.3C (100.9F), pulse
|\ |\ |\ |\ |\ |\ |\
92/min, respirations 20/min, and blood pressure 108/60. which of
|\ |\ |\ |\ |\ |\ |\ |\ |\
the following actions should the nurse take?
|\ |\ |\ |\ |\ |\ |\
a.) initiate fluid restrictions to limit intake
|\ |\ |\ |\ |\ |\
b.) check for peripheral edema
|\ |\ |\ |\
c.) encourage the client to ambulate to promote oxygenation
|\ |\ |\ |\ |\ |\ |\ |\
d.) monitor for orthostatic hypotension
|\ |\ |\ |\
d.) monitor for orthostatic hypotension
|\ |\ |\ |\
a nurse is caring for a client who has a blood sodium level 133
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
meq/l and blood potassium level 3.4 meq/l. the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recognize that which of the following treatments can result in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
these laboratory findings?
|\ |\
a.) three tap water enemas
|\ |\ |\ |\
b.) 0.9% sodium chloride solution IV at 50ml/hr
|\ |\ |\ |\ |\ |\ |\
c.) 5% dextrose with 0.45% sodium chloride solution with 20 meq
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of K+ IV at 80ml/hr
|\ |\ |\ |\ |\
d.) antibiotic therapy
|\ |\
a.) three tap water enemas
|\ |\ |\ |\
