Fundamentals Final Test Bank

A 70 year old client is admitted to the PACU with an intravenous (IV) solution of 0.9% NaCl which is running as 123cc/hour. The nurse detects new onset of crackles in the lung bases and distended neck veins. What is nurses the priority action? A. Notify a health care provider B. Immediately document findings in the medical record C. Decrease the IV flow rate D. Discontinue the IV - C. Decrease the IV flow ratecorrect answersA client was given a narcotic pain med at 0800. At 0900 the nurse finds the client slumped in the chair, hard to arouse, with respirations of 6/minute. Arterial blood gases are ordered what would you expect to see in the ABG results? A. pH less than 7.35 B. pH higher than 7.45 C. CO2 of about 35 D. Co2 lower than 45 - A. pH less than 7.35correct answersA client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make? A. "The laxative will prevent the absorption of magnesium." B. "The laxative helps eliminate the barium." C. "The laxative is the protocol at this facility." D. "The laxative makes the barium turn brown." - B. "The laxative helps eliminate the barium."correct answersA hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. Which of the following prescriptions should the nurse expect? (Select all that apply.) Provide skin care with a moisture barrier cream. Administer artificial tear PRN. Obtain vital signs every 2 hr. Perform mouth care every hour. Administer oxygen 2L/min via nasal cannula. - Provide skin care with a moisture barrier cream.