AH2: Exam 1 Questions With Complete Solutions
A client has mitral stenosis and is a prospective valve recipient.
The nurse is instructing the client about health maintenance
prior to surgery. Inability to follow which of the following
prescription would pose the greatest health hazard to this client
at this time?
a) medication therapy
b) dental care
c) diet modification
d) activity restrictions Correct Answers a) medication therapy
A client is admitted from the emergency department for
intravenous (IV) fluids to treat dehydration caused by several
days of vomiting and diarrhea. The client's admission venous
blood work reveals a pH of 7.27 and bicarbonate of 26 mEq/L;
potassium and chloride levels are within normal ranges. The
provider has ordered adding bicarbonate to the IV fluids. Which
action by the nurse is correct?
1. Administer the bicarbonate as ordered to treat this client's
metabolic acidosis.
2. Hold the bicarbonate and report the laboratory values to the
provider.
3. Request an order for renal function tests before giving the
bicarbonate.
4. Suggest adding potassium chloride to the IV fluids. Correct
Answers 2. Hold the bicarbonate and report the laboratory
values to the provider.
, A client is being discharged on warfarin (Coumadin) therapy.
What discharge instructions is the nurse required to provide?
(Select all that apply.)
a. Dietary restrictions
b. Driving restrictions
c. Follow-up laboratory monitoring
d. Possible drug-drug interactions
e. Reason to take medication Correct Answers ANS: A, C, D,
E
A client with a history of heart failure and hypertension is in the
clinic for a follow-up visit. The client is on lisinopril and
warfarin. The client reports new-onset cough. What action by
the nurse if most appropriate? Correct Answers assess the
client's lung sounds and other signs of oxygenation first
A client's serum potassium level has increased to 5.8 mEq/L.
What action should the nurse implement first?
1. Call the laboratory to repeat the test.
2. Take vital signs and notify the charge nurse or health care
provider.
3. Inform the cardiac arrest team to place them on alert.
4. Take an electrocardiogram and have lidocaine available.
Correct Answers 2. Take vital signs and notify the charge nurse
or health care provider.
A nurse caring for for a client who has been receiving IV
diuretics suspects that the client is experiencing a fluid volume
A client has mitral stenosis and is a prospective valve recipient.
The nurse is instructing the client about health maintenance
prior to surgery. Inability to follow which of the following
prescription would pose the greatest health hazard to this client
at this time?
a) medication therapy
b) dental care
c) diet modification
d) activity restrictions Correct Answers a) medication therapy
A client is admitted from the emergency department for
intravenous (IV) fluids to treat dehydration caused by several
days of vomiting and diarrhea. The client's admission venous
blood work reveals a pH of 7.27 and bicarbonate of 26 mEq/L;
potassium and chloride levels are within normal ranges. The
provider has ordered adding bicarbonate to the IV fluids. Which
action by the nurse is correct?
1. Administer the bicarbonate as ordered to treat this client's
metabolic acidosis.
2. Hold the bicarbonate and report the laboratory values to the
provider.
3. Request an order for renal function tests before giving the
bicarbonate.
4. Suggest adding potassium chloride to the IV fluids. Correct
Answers 2. Hold the bicarbonate and report the laboratory
values to the provider.
, A client is being discharged on warfarin (Coumadin) therapy.
What discharge instructions is the nurse required to provide?
(Select all that apply.)
a. Dietary restrictions
b. Driving restrictions
c. Follow-up laboratory monitoring
d. Possible drug-drug interactions
e. Reason to take medication Correct Answers ANS: A, C, D,
E
A client with a history of heart failure and hypertension is in the
clinic for a follow-up visit. The client is on lisinopril and
warfarin. The client reports new-onset cough. What action by
the nurse if most appropriate? Correct Answers assess the
client's lung sounds and other signs of oxygenation first
A client's serum potassium level has increased to 5.8 mEq/L.
What action should the nurse implement first?
1. Call the laboratory to repeat the test.
2. Take vital signs and notify the charge nurse or health care
provider.
3. Inform the cardiac arrest team to place them on alert.
4. Take an electrocardiogram and have lidocaine available.
Correct Answers 2. Take vital signs and notify the charge nurse
or health care provider.
A nurse caring for for a client who has been receiving IV
diuretics suspects that the client is experiencing a fluid volume
