NR 226 Quiz 2 Questions and Answers
A nurse is witnessing a client sign an informed consent form for surgery. What is the
nurse affirming by this action? - answerthe signature on the preoperative consent is the
client's
A nurse is monitoring a client's laboratory results. Which of the following results should
the nurse report to the provider? - answerPotassium 3.0 mEq/L
A nurse discovers that a client received the wrong medication. Which of the following
actions should the nurse take first? - answerAssess the client
A nurse is caring for a client with dehydration who has developed hypovolemic shock.
Which of the following lab values should the nurse expect for this client? - answerHct
55%
Rationale: An elevated hematocrit indicates hypovolemia. Other indications include a
weak pulse, tachycardia, hypotension, tachypnea, slow cap refill, elevated BUN,
increased urine specific gravity, and decreased urine output.
A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of the client's fluid status? -
answerDaily weights
A nruse is assessing a client who reports nausea and vomiting for 2 days. Which of the
following findings should indicate to the nurse that the client is experiencing fluid volume
deficit? - answerIncreased HR.
A nurse is caring for a client who has peripheral edema. The RN should identify that
which of the following nutrients regulates extracellular fluid volume? - answerSodium
The nurse is planning care for an adult client who has fluid volume excess. Which of the
following interventions should the nurse plan to include to monitor the client's weight? -
answerWeight the client on arising.
A nurse is caring for a client who is receiving IV fluid replacement. Which of the
following findings should the nurse identify as infiltration of the IV infusion site. -
answerskin is taut around the IV catheter site that is cool to the touch.
A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client
appears upset and refuses to take the medication before throwing the pill on the floor.
Which of the following entries should the nurse document in the client's medical record?
- answerThe client threw the medication on the floor.
A nurse is witnessing a client sign an informed consent form for surgery. What is the
nurse affirming by this action? - answerthe signature on the preoperative consent is the
client's
A nurse is monitoring a client's laboratory results. Which of the following results should
the nurse report to the provider? - answerPotassium 3.0 mEq/L
A nurse discovers that a client received the wrong medication. Which of the following
actions should the nurse take first? - answerAssess the client
A nurse is caring for a client with dehydration who has developed hypovolemic shock.
Which of the following lab values should the nurse expect for this client? - answerHct
55%
Rationale: An elevated hematocrit indicates hypovolemia. Other indications include a
weak pulse, tachycardia, hypotension, tachypnea, slow cap refill, elevated BUN,
increased urine specific gravity, and decreased urine output.
A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of the client's fluid status? -
answerDaily weights
A nruse is assessing a client who reports nausea and vomiting for 2 days. Which of the
following findings should indicate to the nurse that the client is experiencing fluid volume
deficit? - answerIncreased HR.
A nurse is caring for a client who has peripheral edema. The RN should identify that
which of the following nutrients regulates extracellular fluid volume? - answerSodium
The nurse is planning care for an adult client who has fluid volume excess. Which of the
following interventions should the nurse plan to include to monitor the client's weight? -
answerWeight the client on arising.
A nurse is caring for a client who is receiving IV fluid replacement. Which of the
following findings should the nurse identify as infiltration of the IV infusion site. -
answerskin is taut around the IV catheter site that is cool to the touch.
A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client
appears upset and refuses to take the medication before throwing the pill on the floor.
Which of the following entries should the nurse document in the client's medical record?
- answerThe client threw the medication on the floor.
