ATI quiz 4

A nurse is preparing to administer 0.45% sodium chloride(NaCl) 1000mL IV to infuse over 8hr. The nurse should set the IV pump to deliver how many mL/hr?

125mL/hr

A nurse is calculating the output of a client at the end of the shift. The nurse notes the following: Client voided 400mL at 1100 and 350 at 1430. The closed chest drainage system was marked at 155mL and is now at 175mL. The NG tube has 575 mL drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube. How many mL should the nurse record in the medical record as the client's output?

1370 mL (750+20+575+25)

A nurse is assessing a client who has a sodium level of 116mEq/L. Which of the following findings should the nurse expect? a)nausea and vomiting b)extreme thirst c)flushed skin d)fever

a

A nurse is caring for a client who has the following arterial blood gas results: HCO3=18 PaCO2=28 mmHg pH=7.30 The nurse recognizes the client is experiencing which of the following acid base imbalance? a)metabolic acidosis b)respiratory acidosis c)metabolic acidosis d)respiratory alkalosis

a

A nurse is caring for a client who is postoperative and whose respiration are shallow and 9/min. Which of the following acid-based imbalances should the nurses identify the client as being at risk for developing initially? a)respiratory acidosis b)respiratory alkalosis c)metabolic acidosis d)metabolic alkalosis

a

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium? a)bananas b)cooked carrots c)cheddar cheese d)2% milk

a

A nurse is reviewing a client's laboratory report of blood gas findings: Which of the following pH values and conditions should the nurse expect when interpreting these findings? HCO3=18 PaCO2=28 a)Decreased pH and metabolic acidosis b)decreased pH and respiratory acidosis c)elevated pH and metabolic alkalosis d)elevated pH and respiratory alkalosis

a

A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see? a)pH below 7.35 b)HCO3 above 26 mEq/L c)PaO2 below 70 mmHg d)PaCO2 above 45 mmHg

a

A nurse is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the nurse expect? a)widened QRS complex b)hyperactive deep tendon reflexes c)bounding peripheral pulses d)warm, flushed skin

a

A nurse is reviewing the medical records of four clients who have an acid base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis? a)a client who has diarrhea b)a client who is vomiting c)a client who is taking a thiazide diuretic d)a client who has salicylate intoxication

a

A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching?(select all that apply) a)your provider might prescribe anticholinergic medications b)you should limit fluids in the evening c)you should restrict your intake of caffeine d)you might require intermittent urinary catherization e)you might require an anterior vaginal repair

a,b,c

A nurse is discussing indications for urinary catherization with the newly licensed nurse. Which of following indications should the nurse include? (select all that apply) a)relief of urinary retention b)convenience for the nursing staff of the clients family c)measurement of residual urine after urination d)routine acquisition of a urine specimen e)an open perineal wound

a,c,e

A nurse is admitting a client who reports flu like symptoms with hyperactive reflexes and a new onset of confusion. The nurse should recognize that the client is experiencing which of the following conditions? a)metabolic acidosis b)metabolic alkalosis c)respiratory acidosis d)respiratory alkalosis

b

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection? a)replace the catheter every three days b)Check the catheter tubing for kinks or twisting c)irrigate the catheter once each shift d)clean the perineal area with an antiseptic solution daily.

b

A nurse is caring for a client who has benign prostatic hyperplasia(BPH). Which of the following medications should the nurse plan to administer? a)Danazol b)Finasteride c)Fluoxymesterone d)Methyltestosterone

b

A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for which of the following electrolyte imbalances? a)hypernatremia b)hyperuricemia c)hypercalcemia d)hyperchloremia

b

A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following interventions should the nurse include in the plan of care? a)monitor the client's intake and output every 6hrs b)offer the client 240mL(8oz) of oral fluids every 4hrs c)Check the client's IV infusion every 8hrs d)administer furosemide to the client

b

A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching? a)I should consume most of the fluid during the evening b)I will make a list of my favorite beverages c)I will put beverages in large containers to give the appearance of drinking a lot d)I will not add ice cream to the amount of fluid intake

b

A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission lab findings, the nurse recognizes that these findings are consistent with which of the following conditions? Sodium=152 mEq/L Glucose=102mg/dL Potassium=3.6 mEq/L BUN=18mg/dL Chloride=105 mEq/L Creatinine=0.7mg/dL a)renal failure b)low protein diet c)dehydration d)SIADH

c

A nurse is performing discharge teaching with a client about the care of a newly created ileal conduit. The nurse should instruct the client to empty the appliance a)twice a day b)daily at bedtime c)when the bad is 2/3 full d)when the bag is full

c

A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer? a)lactulose b)sevelamer c)sodium polystyrene d)darbepoetin alfa

c

A nurse in a community clinic is assessing an older adult for manifestations of dehydration. Which of the following findings should the nurse expect? a)hypothermia b)protruding eyeballs c)elevated blood pressure d)furrows in the tongue

d

A nurse is assessing four clients for fluid imbalance. The nurse should identify that which of following clients is exhibiting manifestations of dehydration? a)a client who has a urine specific gravity of 1.010 b)a client who has a weight gain of 2.2kg in 24hrs c)a client who has a hematocrit of 45% d)a client who has a temp of 39C(102F)

d

A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? a)pernicious anemia b)dehydration c)prostate enlargement d)bladder infection

d

A nurse is providing discharge teaching about clean intermittent self-catherization for a client who has benign hyperplasia. Which of the following instructions should the nurse include? a)perform catherization when you recognize the urge to void. b)hold the penis at 30-45 degree angle when inserting the catheter c)inflate the balloon when the urine flow stops d)use soap and water to wash the catheter after each use

d