Solutions
A nurse teaches a patient with dehydration about maintaining
safe intravenous therapy at home. Which statement made by the
patient indicates a need for further learning?
A. "I should perform isometric exercises daily for 30 minutes."
B. "I should cover the injection site with plastic to prevent the
site from getting wet during a shower."
C. "I should apply pressure to the injection site with sterile
gauze if the catheter falls out."
D. "I should immediately report inflammation and itching at the
injection site." Correct Answer A. "I should perform isometric
exercises daily for 30 minutes."
A patient develops a mild allergic reaction during a blood
transfusion. Which should the nurse administer to manage this
allergic reaction?
A. Sympathomimetics
B. Corticosteroids
C. Antihistamines
D. Vasoconstrictors Correct Answer C. Antihistamines
A patient has extracellular volume deficit due to diarrhea. How
should the nurse correct the volume deficit in the patient?
A. Provide caffeinated fluids
B. Provide low-sodium fluids
C. Provide fluids that contain lactose
D. Provide fluids that contain sodium Correct Answer D.
Provide fluids that contain sodium
, A patient has had chronic diarrhea for 3 months and also suffers
from repeated bouts of vomiting. The nurse is reviewing the
patient's laboratory report. Which are likely findings in the
laboratory report?
A. Serum K+ levels are more than 5 mEq/L
B. Total serum Ca2+ is greater than 10.5 mg/dL
C. Serum K+ levels are less than 3.5 mEq/L
D. Serum Mg2+ levels are greater than 2.5 mEq/L Correct
Answer C. Serum K+ levels are less than 3.5 mEq/L
A patient on intravenous fluids develops shortness of breath and
edema of the extremities. Upon auscultation, the nurse hears
crackles in the dependent parts of the lungs. Which nursing
intervention is beneficial in this condition?
A. Reducing the flow rate
B. Starting a new line in another extremity
C. Applying a warm and moist compress at the site
D. Removing the catheter and applying sterile dressing Correct
Answer A. Reducing the flow rate
A patient reports intense thirst and decreased alertness. The
patient's serum sodium level is 170 mEq/L. What condition
should the nurse document in the patient's medical chart?
A. Hyperkalemia
B. Hypercalcemia
C. Hypernatremia
D. Hypermagnesemia Correct Answer C. Hypernatremia
A patient who is undergoing intravenous therapy develops
redness, inflammation, and swelling at the catheter site. After
further assessment, the nurse finds purulent drainage from the