Nurs 221 Final Exam Iggy & D2L – Practice
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Terms in this set (129)
What responses does the nurse Answer: A
expect as a result of infusing 500 mL
liter of a 3% saline intravenous
solution into a client over a 1-hour time
period?
A. Plasma volume osmolarity
increases; blood pressure increases
B. Plasma volume osmolarity
decreases; blood pressure increases
C. Plasma volume osmolarity
increases; blood pressure decreases
D. Plasma volume osmolarity
decreases; blood pressure decreases
,Which clinical indicators are most Answer: A, D, F
relevant for the nurse to monitor
during IV fluid replacement for a client
with dehydration? Select all that
apply.
A. Blood pressure
B. Deep tendon reflexes
C. Hand-grip strength
D. Pulse rate and quality
E. Skin turgor
F. Urine output
The client who is confined to bed in Answer: C
the recumbent position has gained 5
lb (2.3 kg) in the past 24 hours. In
which area does the nurse assess skin
turgor for accurate determination of
dependent edema?
A. Foot and ankle
B. Forehead
C. Sacrum
D. Chest
,With which client does the nurse Answer: D
remain alert for and assess most
frequently for signs and symptoms of
hypokalemia to prevent harm?
A. 72-year-old taking the diuretic
spironolactone for control of
hypertension
B. 62-year-old receiving an IV solution
of Ringer's lactate at a rate of 200
mL/hr
C. 42-year-old trauma victim receiving
a third infusion of packed red blood
cells in 12 hours
D. 22-year-old receiving an IV infusion
of regular insulin to manage an
episode of ketoacidosis
In reviewing the electrolytes of a Answer: C
client, the nurse notes the serum
potassium level has increased from
4.6 mEq/L (mmol/L) to 6.1 mEq/L
(mmol/L). Which assessment does the
nurse perform first to prevent harm?
A. Deep tendon reflexes
B. Oxygen saturation
C. Pulse rate and rhythm
D. Respiratory rate and depth
, A client with severe diarrhea reports Answer: C
tingling lips and foot cramps. What is
the nurse’s best first action to prevent
harm?
A. Hold the next dose of the
prescribed antidiarrheal drug
B. Assess bowel sounds in all four
abdominal quadrants C. Assess the
client’s response to the Chvostek test
D. Increase the IV flow rate of the
normal saline infusion
Which electrolytes are most Answer: A, D
detrimentally affected by low
magnesium levels? Select all that
apply.
A. Calcium
B. Chloride
C. Hydrogen
D. Potassium
E. Sodium
F. Sulfate
Which condition or manifestation in Answer: D
the client with a serum sodium level of
149 mEq/L indicates to the nurse that
this electrolyte imbalance may be
caused by excessive fluid loss?
A. The client has calf muscle cramping.
B. The serum chloride level is low.
C. The urine specific gravity is high.
D. The hematocrit is 52%.
Questions & Answers | Complete Study Guide With
Solutions
Save
Terms in this set (129)
What responses does the nurse Answer: A
expect as a result of infusing 500 mL
liter of a 3% saline intravenous
solution into a client over a 1-hour time
period?
A. Plasma volume osmolarity
increases; blood pressure increases
B. Plasma volume osmolarity
decreases; blood pressure increases
C. Plasma volume osmolarity
increases; blood pressure decreases
D. Plasma volume osmolarity
decreases; blood pressure decreases
,Which clinical indicators are most Answer: A, D, F
relevant for the nurse to monitor
during IV fluid replacement for a client
with dehydration? Select all that
apply.
A. Blood pressure
B. Deep tendon reflexes
C. Hand-grip strength
D. Pulse rate and quality
E. Skin turgor
F. Urine output
The client who is confined to bed in Answer: C
the recumbent position has gained 5
lb (2.3 kg) in the past 24 hours. In
which area does the nurse assess skin
turgor for accurate determination of
dependent edema?
A. Foot and ankle
B. Forehead
C. Sacrum
D. Chest
,With which client does the nurse Answer: D
remain alert for and assess most
frequently for signs and symptoms of
hypokalemia to prevent harm?
A. 72-year-old taking the diuretic
spironolactone for control of
hypertension
B. 62-year-old receiving an IV solution
of Ringer's lactate at a rate of 200
mL/hr
C. 42-year-old trauma victim receiving
a third infusion of packed red blood
cells in 12 hours
D. 22-year-old receiving an IV infusion
of regular insulin to manage an
episode of ketoacidosis
In reviewing the electrolytes of a Answer: C
client, the nurse notes the serum
potassium level has increased from
4.6 mEq/L (mmol/L) to 6.1 mEq/L
(mmol/L). Which assessment does the
nurse perform first to prevent harm?
A. Deep tendon reflexes
B. Oxygen saturation
C. Pulse rate and rhythm
D. Respiratory rate and depth
, A client with severe diarrhea reports Answer: C
tingling lips and foot cramps. What is
the nurse’s best first action to prevent
harm?
A. Hold the next dose of the
prescribed antidiarrheal drug
B. Assess bowel sounds in all four
abdominal quadrants C. Assess the
client’s response to the Chvostek test
D. Increase the IV flow rate of the
normal saline infusion
Which electrolytes are most Answer: A, D
detrimentally affected by low
magnesium levels? Select all that
apply.
A. Calcium
B. Chloride
C. Hydrogen
D. Potassium
E. Sodium
F. Sulfate
Which condition or manifestation in Answer: D
the client with a serum sodium level of
149 mEq/L indicates to the nurse that
this electrolyte imbalance may be
caused by excessive fluid loss?
A. The client has calf muscle cramping.
B. The serum chloride level is low.
C. The urine specific gravity is high.
D. The hematocrit is 52%.
