NSG 3100 Exam 4 with complete solutions(2023 Actual test)

NSG 3100 Exam 4 with complete solutions(2023 Actual test) When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the status of which body system? Correct Answer: Neurological While assisting the client with meal selection, the nurse realizes that clients who practice Islam or Judaism share an avoidance of: Correct Answer: pork products. The client wants to increase intake of an antioxidant in her diet. The nurse recommends including vitamin C, which is best found in: Correct Answer: Correct Answer: tomatoes. For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects signs and symptoms consistent with: Correct Answer: Correct Answer: metabolic acidosis. Which of the following techniques used by the new staff nurse for administering medications via an enteral tube requires correction by the charge nurse? Correct Answer: Correct Answer: Adding the medications to the tube feeding After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to recommend which one of the following foods for this client? Correct Answer: Correct Answer: Yogurt While doing a nutritional assessment of a low-income family, the community health nurse determines that the family's diet is inadequate in protein content. The nurse suggests which of the following lower-cost foods to increase protein content? Correct Answer: Correct Answer: Beans The client has had throat surgery and is placed on a clear liquid diet. The nurse should offer the patient: Correct Answer: Correct Answer: apple juice. The majority of body fluid is located in which area? Correct Answer: Correct Answer: Intracellular The nurse recognizes that the client, on the basis of the imbalance that is present, will require fluid replacement with isotonic solution. One of the isotonic solutions that may be ordered by the physician is: Correct Answer: Correct Answer: Lactated Ringer solution. One of the first indications of fluid volume deficit is: Correct Answer: Correct Answer: tachycardia. For the client with a vitamin D deficiency and inadequate calcium intake, the nurse observes for: Correct Answer: Correct Answer: Chvostek sign Chvostek sign Correct Answer: an abnormal reaction to the stimulation of the facial nerve. A nasogastric tube is inserted in order for the client to receive intermittent tube feedings. The action by the nurse that requires correction by the unit manager is: Correct Answer: Correct Answer: instilling air into the NG tube to check for placement. The mucous membranes of a normally hydrated individual are: Correct Answer: Correct Answer: moist. Of the following clients, the nurse recognizes that the individual who is most at risk for a fluid volume deficit is: Correct Answer: Correct Answer: 42-year-old with severe vomiting. The single best indicator of fluid status is the nurse's assessment of the client's: Correct Answer: Correct Answer: daily body weight The nurse is inserting a nasogastric tube. During the insertion, the client starts to gag and becomes dyspneic. Which action should the nurse take? Correct Answer: Correct Answer: Withdraw the tube and start again. It is recommended that adults consume approximately how much of their diet from carbohydrates? Correct Answer: Correct Answer: 50% A critical measure for clients with hypocalcemia and hypomagnesemia is: Correct Answer: Correct Answer: implementing seizure precautions. For the client who needs fluid replacement, which of the following should be avoided? Correct Answer: Coffee Albumin levels indicate prolonged malnutrition. Correct Answer: True Causes of hyponatremia include Correct Answer: Excessive diaphoresis Diuretics Wound drainage Hyponatremia Correct Answer: low sodium causes of hypernatremia Correct Answer: Fever Diarrhea Excessive sodium intake Hypernatremia Correct Answer: high sodium An example of hemoconcentration seen in dehydration is increased hematocrit levels. T or F Correct Answer: True Signs of fluid overload Correct Answer: High BP Pitting edema in lower extremities Mental confusion Moist crackles Which is a sign/symptom of hypernatremia? Correct Answer: Thirs