Nursing 2050 Exam 2 iClicker (Culture & Communication,
Fluid Electrolytes Acid Base, Skin and Wound, Nutrition,
Bowel Elimination) Questions With Complete Solutions
A client had a new colostomy created 2 days earlier and is
beginning to pass malodorous flatus from the stoma. What is the
correct interpretation by the nurse?
A. This is a normal, expected event.
B. The client is experiencing early signs of ischemic bowel.
C. The client should not have the nasogastric tube removed.
D. This indicates inadequate preoperative bowel preparation.
Correct Answers A. This is a normal, expected event.
A client has paraplegia as a result of a motorcycle accident.
What is the reason the nursing care plan should include turning
the client every 1 to 2 hours?
A. Maintain comfort
B. Prevent pressure ulcers
C. Prevent flexion contractures of the extremities
D. Improve venous circulation in the lower extremities Correct
Answers B. Prevent pressure ulcers
A client is one day post-op following a transverse loop
colostomy. Which assessment finding would be indicative of a
complication?
A. Hypoactive bowel sounds
B. A dusky color to the stoma
C. Soft stool measuring 200 mL
, D. Scant bleeding at the stoma site Correct Answers B. A
dusky color to the stoma
A client is receiving total parenteral nutrition (TPN). The nurse
notices that the bag of TPN solution has been infusing for 24
hours but has 300 mL of solution left. What should the nurse
do?
A. Continue the infusion until the remaining 300 mL is infused.
B. Change the filter on the tubing, and continue with the
infusion.
C. Notify the health care provider (HCP), and obtain
prescriptions to alter the flow rate of the solution.
D. Discontinue the current solution, change the tubing, and hang
a new bag of TPN solution. Correct Answers D. Discontinue
the current solution, change the tubing, and hang a new bag of
TPN solution.
A client with diabetes mellitus has a blood glucose level on
admission of 596 mg/dL. The nurse should anticipate that this
client could be experiencing which type of acid-base imbalance?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis Correct Answers A. Metabolic
acidosis
A Muslim female client has been stabilized after an assault in
the parking lot of a local restaurant. The nurse manager is
making assignments for the oncoming shift. Which action by the
Fluid Electrolytes Acid Base, Skin and Wound, Nutrition,
Bowel Elimination) Questions With Complete Solutions
A client had a new colostomy created 2 days earlier and is
beginning to pass malodorous flatus from the stoma. What is the
correct interpretation by the nurse?
A. This is a normal, expected event.
B. The client is experiencing early signs of ischemic bowel.
C. The client should not have the nasogastric tube removed.
D. This indicates inadequate preoperative bowel preparation.
Correct Answers A. This is a normal, expected event.
A client has paraplegia as a result of a motorcycle accident.
What is the reason the nursing care plan should include turning
the client every 1 to 2 hours?
A. Maintain comfort
B. Prevent pressure ulcers
C. Prevent flexion contractures of the extremities
D. Improve venous circulation in the lower extremities Correct
Answers B. Prevent pressure ulcers
A client is one day post-op following a transverse loop
colostomy. Which assessment finding would be indicative of a
complication?
A. Hypoactive bowel sounds
B. A dusky color to the stoma
C. Soft stool measuring 200 mL
, D. Scant bleeding at the stoma site Correct Answers B. A
dusky color to the stoma
A client is receiving total parenteral nutrition (TPN). The nurse
notices that the bag of TPN solution has been infusing for 24
hours but has 300 mL of solution left. What should the nurse
do?
A. Continue the infusion until the remaining 300 mL is infused.
B. Change the filter on the tubing, and continue with the
infusion.
C. Notify the health care provider (HCP), and obtain
prescriptions to alter the flow rate of the solution.
D. Discontinue the current solution, change the tubing, and hang
a new bag of TPN solution. Correct Answers D. Discontinue
the current solution, change the tubing, and hang a new bag of
TPN solution.
A client with diabetes mellitus has a blood glucose level on
admission of 596 mg/dL. The nurse should anticipate that this
client could be experiencing which type of acid-base imbalance?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis Correct Answers A. Metabolic
acidosis
A Muslim female client has been stabilized after an assault in
the parking lot of a local restaurant. The nurse manager is
making assignments for the oncoming shift. Which action by the
