Nur 151 Exam 4 questions with answers

Nur 151 Exam 4 questions with
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answers

A client is admitted to the hospital with a decreased
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serum osmolarity and a serum sodium of 126 mEq/L. In
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further assessing the client, which of the following
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assessments would indicate that hyponatremia is caused |\ |\ |\ |\ |\ |\ |\


by fluid volume excess?
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a. Distended neck veins
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b. Decreased urine output
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c. Rapid weight gain
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d. Increased rate and depth of respirations
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e. Bounding pulse
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f. Gravity of urine is lower - CORRECT ANSWERS ✔✔a.
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Distended neck veins |\ |\




c. Rapid weight gain
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d. Increased rate and depth of respirations
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e. Bounding pulse
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f. Gravity of urine is lower
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A client with a history of severe diarrhea presents with a
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rapid pulse, orthostatic hypotension, urine output of 20
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mL/hr, pale skin, and increased respiratory rate. In
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evaluating the client's laboratory values, you would|\ |\ |\ |\ |\ |\ |\


expect to see which abnormality?
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, a. Decreased urine specific gravity
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b. Increase potassium
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c. Decreased BUN
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d. Increased hematocrit - CORRECT ANSWERS ✔✔d.
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Increased hematocrit |\




A client with a history of severe diarrhea presents with a
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rapid pulse, orthostatic hypotension, urine output of 20
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mL/hr, pale skin, and increased respiratory rate.
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Interventions to correct this fluid volume imbalance
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include:


a. Re-hydration
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b. Administration of a diuretic
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c. Administration of an anti-diarrheal
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d. Replacement of glucose - CORRECT ANSWERS ✔✔a. Re-
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hydration
c. Administration of an anti-diarrheal
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A client with a history of severe diarrhea presents with a
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rapid pulse, orthostatic hypotension, urine output of 20
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mL/hr, cool pale skin, and increased respiratory rate. IV
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fluids are administered. Which of the following would
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indicate that the client has a negative response to fluid
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replacement?