NSG121 Unit 3 Review questions and answers

NSG121 Unit 3 Review A patient is admitted to the ER with the following findings: HR 110 (thready upon palpation), 80/62 BP, 25 mL/hr urinary output, and Na level of 160. What interventions do you expect the medical doctor to order for this patient? A Restrict fluid intake and monitor daily weights B Administer hypertonic solution of 5% Dextrose 0.45% Sodium Chloride and monitor urinary output C Administer hypotonic IV fluid and administer sodium tablets D No interventions are expected - correct answer B After obtaining an EKG on a patient you notice that ST depression is present along with an inverted T wave and prominent U wave. What lab value would be the cause of this finding? A Magnesium level of 2.2 B Potassium level of 5.6 C Potassium level of 2.2 D Phosphorus level of 2.0 - correct answer C Which patient below would have a K level of 5.5? A A 76 year old who reports taking Lasix four times a day B A patient with Addison's disease C A 55 year old woman who has been vomiting for 3 days consistently D A patient with liver failure - correct answer B You are taking a patient's BP manually. As you pump the cuff above the systolic pressure for a few minutes you notice that the patient develops a carpal spasm. Which of the following is true? A The patient is having a normal nervous response to an inflating BP cuff that is inflated above the systolic pressure B This is known as Trousseau's Sign and is present in patients with hypercalcemia C This is known as Chvostek's Sign