FGM - Exam 4 second attempt final quiz - PN2

Review Test Submission: Final Review No Points PN2 Content 1 out of 1 points A nurse is evaluating a patient who is being treated for dehydration. Which assessment result does the nurse correlate with a therapeutic response to the treatment plan? Selected Answer: b. Decreased orthostatic light-headedness and dizziness Answers: a. Increased respiratory rate from 12 to 22 breaths/min b. Decreased orthostatic light-headedness and dizziness c. Decreased skin turgor on the patient’s posterior hand and forehead d. Increased urine specific gravity from 1.012 to 1.030 g/mL Response Feedback: The focus of management for patients with dehydration is to increase fluid volumes to normal. When fluid volumes return to normal, patients should perfuse the brain more effectively, therefore improving confusion and decreasing orthostatic light-headedness or dizziness. Increased respiratory rate, decreased skin turgor, and increased specific gravity are all manifestations of dehydration.  Question 2 1 out of 1 points After teaching a patient who is prescribed a restricted sodium diet, a nurse assesses the patient’s understanding. Which food choice for lunch indicates that the patient correctly understood the teaching? Selected Answer: c. Grilled chicken breast with glazed carrots Answers: a. Bowl of tomato soup with a grilled cheese sandwich b. Salami and cheese on whole-wheat crackers c. Grilled chicken breast with glazed carrots d. Slices of smoked ham with potato salad Response Feedback: Patients on restricted sodium diets generally should avoid processed, smoked, and pickled foods and those with sauces and other condiments. Foods lowest in sodium include fish, poultry, and fresh produce. The ham, tomato soup, salami, and crackers are often high in sodium.  Question 3 1 out of 1 points A nurse is assessing a patient with hypokalemia, and notes that the patient’s handgrip strength has diminished since the previous assessment 1 hour ago. What action does the nurse take first? Selected Answer: a. Assess the patient’s respiratory rate, rhythm, and depth. Answers: a. Assess the patient’s respiratory rate, rhythm, and depth. b. Measure the patient’s pulse and blood pressure. c. Call the healthcare provider. d. Document findings and monitor the patient. Response Feedback: In a patient with hypokalemia, progressive skeletal muscle weakness is associated with increasing severity of hypokalemia. The most lifethreatening complication of hypokalemia is respiratory insufficiency. It is imperative for the nurse to perform a respiratory assessment first to make sure that the patient is not in immediate jeopardy. Cardiac dysrhythmias are also associated with hypokalemia. The patient’s pulse and blood pressure should be assessed after assessing respiratory status. Next, the nurse would call the healthcare provider to obtain orders for potassium replacement. Documenting findings and continuing to monitor the patient should occur during and after potassium replacement therapy.  Question 4 1 out of 1 points After teaching a patient to increase dietary potassium intake, a nurse assesses the patient’s understanding. Which dietary meal selection indicates that the patient correctly understands the teaching? Selected Answer: a. Sausage, one slice of whole-wheat toast, half cup of raisins (120 gm), and a glass of milk Answers: a. Sausage, one slice of whole-wheat toast, half cup of raisins (120 gm), and a glass of milk b. Two scrambled eggs, a slice of white toast, and a half cup (120 gm) of strawberries c. Bowl of oatmeal with brown sugar, a half cup of sliced peaches (120 gm), and coffee d. Toasted English muffin with butter and blueberry jam, and tea with sugar Response Feedback: Meat, dairy products, and dried fruit have high concentrations of potassium. Eggs, breads, cereals, sugar, and some fruits (berries, peaches) are low in potassium. The menu selection of sausage, toast, raisins, and milk has the greatest number of items with higher potassium content.  Question 5 1 out of 1 points A patient at risk for developing hyperkalemia states, “I love fruit and usually eat it every day, but now I can’t because of my high potassium level.