Quiz 1 BAH Fluid/ Electrolytes
The nurse is caring for a client who is being treated on the oncology unit with a diagnosis of lung cancer with bone metastases. The client reports a new onset of weakness with abdominal pain and further assessment suggests that the client likely has a fluid volume deficit. The nurse should recognize that this client may be experiencing what electrolyte imbalance?
Hypercalcemia
The intraoperative nurse is transferring a client from the OR to the PACU after replacement of the right knee. The client is an 83 year old woman. The nurse should prioritize which of the following actions?
Keeping the client warm
The nurse is caring for a client on the medical-surgical unit postoperative day 5. During each client assessment, the nurse evaluates the client for infection. Which of the following would be most indicative of infection?
Red, warm, tender incision
The nurse is caring for a client with a secondary diagnosis of hypermagnesemia. What assessment finding would be most consistent with this diagnosis?
Shallow Respirations
A clinic nurse is conducting a preoperative interview with an adult client who will soon be scheduled to undergo cardiac surgery. What interview question most directly addresses the clients safety?
What prescription and nonprescription medications do you currently take?
The recovery room nurse is admitting a client from the OR following the clients successful splenectomy. What is the first assessment that the nurse should perform on this newly admitted client?
Airway Patency
A clients most recent laboratory results show a slight decrease in potassium. The physician has opted to forego drug therapy but has suggested increasing the clients dietary intake of potassium. What should the nurse recommend?
Bananas
The nurse is working on a burns unit and an acutely ill client is exhibiting signs and symptoms of third spacing. Based on this change in status, the nurse should expect the client to exhibit signs and symptoms of what imbalance?
Hypovolemia
The nurse is performing an admission assessment on an older adult client newly admitted for end-stage liver disease. What principle should guide the nurses assessment of the clients skin turgor?
Inelastic Skin Turgor is a normal part of aging
A nurse is providing preoperative teaching to a client who will soon undergo a cardiac bypass. The nurses teaching plan includes exercises of the extremities. What is the purpose of teaching a client leg exercises prior to surgery?
Leg exercises improve circulation and prevent venous thrombosis
A client is 2 hours post op with a Foley catheter in the situ. The last hourly urine output recorded for this client was 10 mL. The tubing of the Foley is confirmed to be patent. What should the nurse do?
Notify the physician and continue to monitor hourly urine output closely
The nurse is checking the informed consent for an older adult client who requires surgery and who has recently been diagnosed with Alzheimer disease. When obtaining informed consent, who is legally responsible for signing?
The client