Reference no: EM134005588

Question

1. A nurse determines which arterial blood gas (ARB) result is normal?

A. ph: 7.30, PCO2: 40 mmHg, HC03: 18mEq/L

B. ph: 6.89, pC02:: 62 mmHg, HC03: 28 mEq/L

C. pH: 7.52, pC02: 38 mmHg, HC03: 32 mEq/L

D. pH: 7.42, pC02: 40 mmHg, HC03: 24 mEq/L

2. The nurse anticipates which client is at risk for hypomagnesemia?

A. A 36-year-old male who takes milk of magnesia (MOM) three times a day.

B. A 57-year-old male who has alcoholism

C. A 47-year-old female who has renal failure.

D. A 62-year-old female with Addison's disease

3. A client has hypocalcemia. Which of the finding indicates a further decrease in the calcium level?

A. Frequent urination

B. Positive Chvostek's sign

C. Muscle weakness

D. Absence of trousseau sign

4. The nurse determines which client is at risk for developing a fluid volume deficit?

A. A 30-year-old client jogging in 50-degree weather

B. A 76-year-old who has a nasogastric (NG) tube to low suction following surgery for colon cancer

C. 1-year-old client is being treated in the clinic for a runny nose & ear infection.

D. A thin 55-year-old client who smokes & takes glucocorticoids for COPD

5. A nurse is caring for a client with dilutional hyponatremia. Which intervention should the nurse anticipate being included in the plan of care? Select all that apply.

A. Administer furosemide

B. Implement seizure precautions

C. Fluid restriction

D. Administer 5% dextrose in water (D5w)

E. High sodium diet

6. A 17-year-old client sustained a head injury and is only responsible for pain. Which intravenous (IV) fluid order should the nurse question?

A. 3 % sodium chloride (3% NaCl)

B. 5% dextrose in water (D5W)

C. 0.9 % sodium chloride (0.9% NaCl)

D. Lactated Ringers solution

7. A client has a serum potassium level of 2.8 mEq/L. The nurse anticipates assessment findings to include which of the following?

A. Shallow respirations

B. Constipation

C. Paresthesia

D. Peaked T wave of ECG+

E. Irregular pulse

8. A nurse is caring for a client with fluid volume excess (FVE). Which clinical manifestations should the nurse anticipate the client having? Select all that apply.

A. Dyspnea

B. Hypotension

C. Decreased Hematocrit

D. Increased urine specific gravity

E. Weight gain

9. A nurse is caring for a client diagnosed with renal failure. Which arterial blood gas (ABG) result should the nurse anticipate?

A. ph: 7.27, PC02: 38 mmHg, HC03: 19 mEq/L

B. PH: 7.34, PC02: 49 mmHg, HC03: 23 mEq/L

C. PH: 7.46, PC02: 30 mmHg, HC03: 25 mEq/L

D. PH: 7.48, PC02: 37 mmHg, HC03: 29 mEq/L

10. A nurse received an order to administer potassium chloride intravenously for hypokalemia. Which actions should the nurse take to prepare and administer the potassium? 

A. Ensure the potassium is diluted in the appropriate volume of fluid

B. Check potassium level before administration

C. Monitor the IV site for infiltration

D. Administer via IV pump at 40 mEq/L/hr

E. Monitor urine output before & during infusion