Fundamentals Quiz 3
A nurse is teaching a client who has COPD about pursed lip breathing. Which of the following statements should the nurse make?
"You should inhale through your nose and exhale through your mouth during pursed lip breathing."
A nurse is assessing a client who has mitral valve stenosis. Which of the following findings should the nurse expect?
A heart Murmur.
A nurse is teaching a client who is at risk for osteoporosis. The nurse should instruct the client that which of the following foods is the best source of calcium?
Almond Milk.
A nurse is planning to insert a short- peripheral IV device into the arm of a client who has a bleeding disorder. Which of the following actions should the nurse plan to take?
Apply a warm compress over the selected insertion site.
A nurse is teaching a client who is at risk for hypokalemia. The nurse should instruct the client that which of the following foods is the best source of potassium?
Baked Potato
A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?
Barrel chest
A nurse is assessing a client who has chronic kidney disease. Which of the following is a manifestation of hyperkalemia?
Decreased deep tendon reflexes.
A nurse is planning care for a client who has hypernatremia. Which of the following IV solutions should the nurse plan to initiate?
Dextrose 5% in water
A nurse is assessing a client who has pleural effusion. Which of the following findings should the nurse expect?
Dullness percussed over the client's lung fields.
A nurse is assessing a client who is receiving a unit of PRBCs. Which of the following findings is a manifestation of an acute hemolytic transfusion reaction?
Flank Pain.
A nurse is caring for a patient who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?
Have the client breath into a paper bag.
A nurse is caring for a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?
Hyperglycemia
A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Lethargy.
A nurse is teaching a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?
Limit calcium intake to 600 mg per dose.
A nurse is assessing a client who has oxygen toxicity. Which of the following findings should the nurse expect?
Muscle twitching.
A nurse is assessing a client who has diarrhea. Which of the following finding is a manifestation of hypokalemia?
Muscle weakness.
A nurse is caring for a client who has diabetic ketoacidosis and hypoxia. Which of the following actions should the nurse take first?
Obtain a prescription for supplemental oxygen.
A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?
Place the client on continuous cardiac monitoring.
A nurse is assisting with the care of a client who has metabolic alkalosis. Which of the following actions should the nurse take?
Place the client on seizure precautions.
A nurse is teaching a class about pulmonary circulation. The nurse should include that blood flows from the heart to the lungs from the right ventricle, starting from which of the following locations?
Pulmonary Artery.
A nurse is caring for a client who has COPD. The nurse should identify the client is at risk for which of the following acid-bas imbalances?
Respiratory Acidosis.
A nurse is preparing to obtain a sputum specimen for a client. Which of the following actions should the nurse plan to take?
Rinse the client's mouth before collecting the specimen.
A nurse is teaching a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?
Store oxygen tanks upright.
A nurse is assessing a client who is receiving a unit of PRBCs. Which of the following findings is a manifestation of of an allergic transfusion reaction.
Wheezing
