CORRECT QUESTIONS AND
VERIFIED ANSWERS
• After receiving IV fluids in the emergency department, an
elderly client is admitted to
the acute care unit with a medical diagnosis of
,dehydration. The client is receiving 0.9% normal saline at
125 ml/hour via saline lock and has a bounding pulse,
,tachycardia, and pedal edema. When contacting the
healthcare provider, the nurse anticipates a prescription
what intervention?
A) Remove the saline lock from the client’s arm.
B) Increase the rate of the normal saline infusion.
C) Decrease the rate of the normal saline infusion.
D) Change the IV solution to 0.45% saline solution.
, • A client who is admitted to the care unit with syndrome
of inappropriate antidiuretic hormone (SIADH) has
developed osmotic demyelination. Which intervention
should the nurse implement first?
A) Patch one eye.
B) Evaluate swallow.
C) Reorient often.
D) Range of motion.
• The nurse is preparing a client who had a below-the-
knee (BKA) amputation for discharge to home. Which
recommendations should the nurse provide this client?
(Select all that apply)
A) Wash the stump with soap and water.
B) Avoid range of motion exercise.
C) Apply alcohol to the
stump after bathing. D)
Inspect skin for redness.
E) Use a residual limb shrinker.
• After 2 days treatment for dehydration, a child
continues to vomit and have diarrhea. Normal saline is