Reference no: EM133910341

Questions

1. A patient develops acute renal failure which acid base imbalance should the nurse anticipate

A. Metabolic acidosis

b. Respiratory acidosis

c. Metabolic alkalosis

d. Respiratory alkalosis

2. The nurse is assessing a patient with chronic alcoholism for sig of hypocalcaemia which action should the nurse take to assess for Trouseeau's signs?

a. Monitor neurological function including mental status and level of consciousness

b. Assess for numbness and tingling around the mouth and in the hand and feet

c. Tap the facial nerve in front of the ear and observe for contraction of the facial muscle

d. Inflate a blood pressure cuff on the upper arm above systolic pressure for 2 to 5 minutes

3. Tachycardia is present in which type of fluid imbalance?

a. Fluid volume deficit

b. Fluid volume excess

c. Both fluid volume excess and fluid volume deficit

d. No change in fluid

4. A nurse is planning care for a client with a fluid volume deficit which of the following are appropriate nursing action. select all that apply?

a. Administer a diuretic

b. Turn the patient at least every two hours

c. Infuse a hypertonic IV solution as ordered

d. Assess the patient level of consciousness and mental status

e. Teach the patient to sit on the side of the bed first before standing

5. Which body system is associated with the most severe consequences due to imbalance in sodium

a. Gastrointestinal

b. Respiratory

c. Renal

d. Neurologic

6. A nursing student has been assigned to the hospital's rapid response team (RRT) which statement by the student indicates a correct understanding of the RRT members purpose?

a. "I will be observing code 'blue' resuscitation."

b. "I will be caring for a client in the hospital"

c. "I will be riding along in the hospital's ambulance"

d. " I will be admitting Client in the hospital."

7. Jugular vein distention is present in which type of fluid imbalance?

a. Fluid volume excess

b. Fluid volume deficit

c. No change in fluid

d. Both fluid volume excess and fluid volume deficit

8. Which food source is high in potassium?

a. Pears

b. Whole wheat

c. Eggs

d. Spinach

9. A patient with a fluid volume deficit is monitored for his fluid volume status with hourly measurements of his urine output which clinical finding should the nurse report to primary care provider.?

a. Urine output of 100 mLs at 10am and 75 mLs at 11am

b. Urine output of 45 mLs at 10am and 60 mLs at 11am

c. Urine output of 50 mLs at 10am and 100 mLs at 11am

d. Urine output of 30 mLs at 10am and 25 mLs at 11am

10. The nurse is teaching a patient who has been diagnosed with diabetes mellitus. which statement should the nurse include in the teaching session regarding the complications of diabetes.?

a. Wearing loosely fitting shoes is important to help avoid blisters and prevent possible amputation"

b. " lowering A1C levels to around 7% in the diabetic patient has showed to reduce the risk of complication"

c. " people with diabetes are less likely to have heart disease than those who don't have disease"

d. " maintaining a diabetic diet is the most important you can do to help prevent the complications of diabetes"