SAUNDERS NCLEX REVIEW CH 9
QUESTIONS & ANSWERS RATED
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The nurse caring for a group of clients reviews the electrolyte laboratory results and notes a
potassium level of 5.5 mEq/L on one client's laboratory report. The nurse understands that
which client is most at risk for the development of a potassium value at this level? - correct
answer ✔✔The client who has sustained a traumatic burn
The nurse caring for a client who has been receiving intravenous (IV) diuretics suspects that the
client is experiencing a fluid volume deficit. Which assessment finding would the nurse note in a
client with this condition? - correct answer ✔✔Decreased central venous pressure (CVP)
The nurse is assigned to care for a group of clients. On review of the clients' medical records,
the nurse determines that which client is at risk for fluid volume excess? - correct answer
✔✔The client with kidney disease
Which intravenous solution would be most appropriate for a client who may be experiencing
excess fluid volume secondary to heart failure? - correct answer ✔✔5% dextrose in 0.9%
normal saline
A client with a traumatic closed head injury shows signs that indicate the presence of cerebral
edema. Which intravenous solution would increase cellular swelling and cerebral edema? -
correct answer ✔✔0.45% normal saline
The nurse is performing an assessment on a client admitted to the hospital with a diagnosis of
dehydration. Which assessment finding should the nurse expect to note? - correct answer
✔✔Changes in mental status
, The nurse is caring for a client with a diagnosis of dehydration, and the client is receiving
intravenous (IV) fluids. Which assessment data would indicate to the nurse that the dehydration
remains unresolved? - correct answer ✔✔A urine specific gravity of 1.043
A client treated for an episode of hyperthermia is being discharged to home. The nurse
determines that the client needs clarification of discharge instructions if the client states a need
to perform which action? - correct answer ✔✔Resume full activity level.
The nurse is caring for a client with a diagnosis of severe dehydration. The client has been
receiving intravenous (IV) fluids and nasogastric (NG) tube feedings. The nurse monitors fluid
balance using which as the best indicator? - correct answer ✔✔daily weight
The nurse is reviewing the laboratory results of a client who is receiving magnesium sulfate by
intravenous infusion. The nurse notes that the magnesium level is 7 mEq/L. On the basis of this
laboratory result, the nurse should expect to note which in the client? - correct answer
✔✔Respiratory depression
The nurse is updating the client's plan of care based on the new onset of hypokalemia. Which
priorities of care should the nurse include? Select all that apply. - correct answer ✔✔Ensure
adequate oxygenation.
Provide assistance to prevent falls.
Monitor medication administration of diuretics.
Prevent complications during potassium administration.
A client is receiving an intravenous infusion of 1000 mL of normal saline with 40 mEq of
potassium chloride. The care unit nurse is monitoring the client for signs of hyperkalemia.
Which finding initially will be noted in the client if hyperkalemia is present? - correct answer
✔✔Muscle weakness
QUESTIONS & ANSWERS RATED
100% COMPLETE LATEST UPDATE
The nurse caring for a group of clients reviews the electrolyte laboratory results and notes a
potassium level of 5.5 mEq/L on one client's laboratory report. The nurse understands that
which client is most at risk for the development of a potassium value at this level? - correct
answer ✔✔The client who has sustained a traumatic burn
The nurse caring for a client who has been receiving intravenous (IV) diuretics suspects that the
client is experiencing a fluid volume deficit. Which assessment finding would the nurse note in a
client with this condition? - correct answer ✔✔Decreased central venous pressure (CVP)
The nurse is assigned to care for a group of clients. On review of the clients' medical records,
the nurse determines that which client is at risk for fluid volume excess? - correct answer
✔✔The client with kidney disease
Which intravenous solution would be most appropriate for a client who may be experiencing
excess fluid volume secondary to heart failure? - correct answer ✔✔5% dextrose in 0.9%
normal saline
A client with a traumatic closed head injury shows signs that indicate the presence of cerebral
edema. Which intravenous solution would increase cellular swelling and cerebral edema? -
correct answer ✔✔0.45% normal saline
The nurse is performing an assessment on a client admitted to the hospital with a diagnosis of
dehydration. Which assessment finding should the nurse expect to note? - correct answer
✔✔Changes in mental status
, The nurse is caring for a client with a diagnosis of dehydration, and the client is receiving
intravenous (IV) fluids. Which assessment data would indicate to the nurse that the dehydration
remains unresolved? - correct answer ✔✔A urine specific gravity of 1.043
A client treated for an episode of hyperthermia is being discharged to home. The nurse
determines that the client needs clarification of discharge instructions if the client states a need
to perform which action? - correct answer ✔✔Resume full activity level.
The nurse is caring for a client with a diagnosis of severe dehydration. The client has been
receiving intravenous (IV) fluids and nasogastric (NG) tube feedings. The nurse monitors fluid
balance using which as the best indicator? - correct answer ✔✔daily weight
The nurse is reviewing the laboratory results of a client who is receiving magnesium sulfate by
intravenous infusion. The nurse notes that the magnesium level is 7 mEq/L. On the basis of this
laboratory result, the nurse should expect to note which in the client? - correct answer
✔✔Respiratory depression
The nurse is updating the client's plan of care based on the new onset of hypokalemia. Which
priorities of care should the nurse include? Select all that apply. - correct answer ✔✔Ensure
adequate oxygenation.
Provide assistance to prevent falls.
Monitor medication administration of diuretics.
Prevent complications during potassium administration.
A client is receiving an intravenous infusion of 1000 mL of normal saline with 40 mEq of
potassium chloride. The care unit nurse is monitoring the client for signs of hyperkalemia.
Which finding initially will be noted in the client if hyperkalemia is present? - correct answer
✔✔Muscle weakness
