204 exam 4 questions with correct answers
/ // // // // // //
where /
/should //the //RN //look //for //the //number //of //drops //per //mL //of //fluid //the //tubing //delivers?
a. //on //the //package //of //tubing //
b. //in //the //drug //reference //book //
c. //in //the //charting //from //the //nurse //who //started //the //infusion //
d. /
/on /
/the //roller //clamp //of //the //tubing //- //CORRECT //ANSWERS(S)✔✔a. //on //the //package //of //tubing
which //is //first //intervention //when //RN //observes //the //IV //solution //is //not //infusing? //
a. //inspect //the //tubing //for //kinks //
b. //discontinue //the //IV //
c. //lower //the //height //of //the //IV //solution //container //
d. //notify //the //MD //- //CORRECT //ANSWERS(S)✔✔a. //inspect //the //tubing //for //kinks
how //should //the //nurse //plan //for //a //1200 //mL //fluid //restriction? //
a. //remove //fluid //from //diet //trays //and //offer //them //only //between //meals //
b. //offer //the //client //soft //foods //such //as //sherbert //and //custard //
c. //allow //600 //mL //from //7-3, //400 //mL //from //3-11, //and //20 //mL //from //11-7
d. /
/tell /
/the /
/pt /
/that /
,/fluid /
/placed //@ //bedside //must //last //until //tomorrow //- //CORRECT //ANSWERS(S)✔✔c. //allow //600 //mL
//from //7-3, //400 //mL //from //3-11, //and //20 //mL //from //11-7
what //action //by //RN //would //be //appropriate //for //pt //on //fluid //restriction //of //800 //mL //a //day?
a. //check //pt //bedside //table //for //hoarded //cups //of //fluid/juice //
b. //allow //the //pt //to //order //her //own //meals //from //the //kitchen
c. //obtain //a //urinalysis //to //check //for //output //
d. /
/do /
/not /
/give //the //pt //any //fluid //after //5:00 //pm //- //CORRECT //ANSWERS(S)✔✔b. //allow //the //pt //to //order
//her //own //meals //from //the //kitchen
which /
/intervention //should //be //included //in //the //plan //of //care //for //pt //with //fluid //volume //excess? //
a. //restrict //the //clients //sodium //in //their //diet //
b. //prepare //the //patient //for //hemodialysis //
c. //do //not //give //the //patient //intravenous //fluids
d. //monitor //blood //glucose //levels //- //CORRECT //ANSWERS(S)✔✔a. //restrict //the //clients //sodium
//in //their //diet
crackles, /
/SOB, //and //distended //neck //veins //indicate //which //complication //of //IV //fluid //therapy? //
a. //impending //cardiovascular //collapse/ //shock //
b. //pulmonary //embolism //
c. //an //allergic //reaction //to //IV //fluids //
d. //fluid //volume //excess //- //CORRECT //ANSWERS(S)✔✔d. //fluid //volume //excess
,what //is //the //priority //assessment //for //a //pt //refusing //to //eat //or //drink //for //several //days? //
a. //increased //blood //pressure //
b. //weak, //rapid //pulse //
c. //jugular //vein //distention //
d. //moist //mucous //membranes //- //CORRECT //ANSWERS(S)✔✔b. //weak, //rapid //pulse
which /
/statement //indicates //a //need //for //further //teaching //regarding //treatment //of //hypokalemia? //
a. //i //will //use //avocado //in //my //salads //
b. //i //will //stop //using //my //salt //substitute //
c. //i //will //take //potassium //in //the //morning //after //eating //breakfast //
d. //
i/
/will /
/be /
/sure /
/to /
/check /
/my /
/heart /
/rate /
/before //i //take //digoxin //- //CORRECT //ANSWERS(S)✔✔b. //i //will //stop //using //my //salt //substitute
which /
/of //the //following //signs //or //symptoms //are //most //representative //of //a //sodium //imbalance? //
a. //muscle //weakness //
b. //hyperreflexia //
c. //mental //confusion //
d. //irregular //pulse //- //CORRECT //ANSWERS(S)✔✔c. //mental //confusion
, which //adaptation //would //indicate //a //K //deficiency? //
a. //dry //hair //
b. //muscle //weakness
c. //increased //BP //
d. //chest //pain //- //CORRECT //ANSWERS(S)✔✔b. //muscle //weakness
a //reduction //in //fluid //intake //will //contribute //to: //
a. //frequent //urination //
b. //decreased //urine //output //
c. //incontinence //of //urine //
d. //retention //of //urine //- //CORRECT //ANSWERS(S)✔✔b. //decreased //urine //output
the /
/physician /
/should //be //notified //when //the //pts //hourly //urinary //output //falls //below //what //amt? //
a. //20 //mL
b. //120 //mL
c. //30 //mL
d. //60 //mL //- //CORRECT //ANSWERS(S)✔✔c. //30 //mL
patients /
/who //are //taking //diuretics //must //be //encouraged //to //ingest //nutrients //rich //in //what? //
a. //sodium //
b. //magnesium //
c. //calcium //
d. //potassium //- //CORRECT //ANSWERS(S)✔✔d. //potassium