NUR 107 Exam 3 - Questions and Answers

NUR 107 Exam 3 - Questions and Answers Which client will have more adipose tissue and less fluid? A) A woman B) A man C) An infant D) A child Which of the following statements is an appropriate nursing diagnosis for an client 80 years of age diagnosed with congestive heart failure, with symptoms of edema, orthopnea, and confusion? A) Extracellular Volume Excess related to heart failure, as evidenced by edema and orthopnea B) Congestive Heart Failure related to edema C) Fluid Volume Excess related to loss of sodium and potassium D) Fluid Volume Deficit related to congestive heart failure, as evidenced by shortness of breath A nurse assessing the IV site of a client observes swelling and pallor around the site, and notes a significant decrease in the flow rate. The client reports coldness around the infusion site. What IV complication does this describe? A) infiltration B) sepsis C) thrombus D) speed shock A nurse inadvertently partially dislodges a PICC line when changing the dressing. What would be the appropriate intervention in this situation? A) Swab the line with sterile saline and gently reinsert the line. B) Sedate the client, remove the PICC line, and then notify the physician. C) Set up a sonogram for the client to determine the end point of the line. D) Reapply the dressing and notify the physician for further instructions. The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping effectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is: A) fluid volume deficit. B) myocardial Infarction. C) fluid volume excess. D) atelectasis. Which individual with diarrhea for three days is most likely to suffer from fluid and electrolyte imbalance? A) Infant B) School-age child C) Adolescent D) Young adult A client has a physician's order for n.p.o (nothing by mouth) following abdominal surgery to repair a bowel obstruction. The client has a nasogastric tube inserted to low intermittent suction. The client requires intravenous therapy for what purpose? A) replace fluid and electrolytes B) administer blood products C) provide protein supplements D) treat the client's infection A nurse is changing a peripheral venous access dressing for a client. What is a recommended step in this procedure? A) Observe clean technique to minimize the possibility of contamination. B) Cleanse the site thoroughly with gauze saturated with sterile saline. C) Apply chlorhexidine using a gentle back and forth motion. D) Wipe or blot the site dry and allow to dry completely before covering. A nurse flushing a capped, peripheral venous access device finds that the IV does not flush easily. What is the appropriate intervention in this situation? A) If infiltration or phlebitis is present, apply a sterile dressing to the site. B) Aspirate and attempt to flush the line again. C) If resistance remains after aspirating and flushing, forcefully flush the line. D) If catheter has pulled out a short distance, push back in and flush line again. A nurse is caring for a client with phlebitis. The nurse notices that the client's forearm, which has the tubing, has become red and slightly warm. Which actions should the nurse perform to avoid further complications and provide relief to the client? A) Administer oxygen. B) Call for help. C) Discontinue the IV promptly. D) Elevate the affected arm.