Fundamentals - Quiz 6

The health care provider is concerned that the client has hypokalemia. During the physical examination, which question should the nurse ask the client?

"Have you been experiencing muscle weakness or leg cramps?"

A client reports postoperative pain of 9 on a scale of 10 and asks the nurse whether a shot or a pill will provide the fastest pain relief. Which is the best response from the nurse?

Intravenous medication provides the fastest pain relief until you can take pills by mouth.

Which acid-base balance would the nurse suspect after assessing the following arterial blood gas values: pH 7.30, PaCO2 36 mmhg, HCO3 14 MEq/l

Metabolic acidosis

A client diagnosed with anemia is receiving a blood transfusion. The client develops urticaria accompanied by wheezing and dyspnea not long after the transfusion starts. The nurse interprets this as indicative of:

allergic reaction.

The nurse is caring for a client who had a parathyroidectomy. Upon evaluation of the client's laboratory studies, the nurse would expect to see imbalances in which electrolytes related to the removal of the parathyroid gland?

calcium and phosphorus

What independent nursing action can be used to facilitate sleep in hospitalized clients who are on bed rest?

giving a back massage

A student is learning how to administer intravenous fluids, including accessing a vein. What is the most potentially harmful risk posed for the client when accessing the vein?

infection

In terms of categories of controlled substance, which description reflects schedule IV drugs?

may lead to limited physical dependence

Which natural chemical does the body produce at night to decrease wakefulness and promote sleep?

melatonin

A client is diagnosed with narcolepsy. What is a characteristic of this disorder?

uncontrollable desire to sleep

Which of the following statements is an appropriate nursing diagnosis for a client 80 years of age diagnosed with congestive heart failure, with symptoms of edema, orthopnea, and confusion?

Extracellular Volume Excess related to heart failure, as evidenced by edema and orthopnea

A nurse is preparing an injection by withdrawing the solution from a multidose vial. What is necessary to facilitate withdrawing a medication from the vial?

First, inject an equal amount of air into the vial.

A nurse monitoring a client's IV infusion auscultates the client's lung sounds and detects crackles in the bases in lungs that were previously clear. What would be the most appropriate intervention in this situation?

Notify the primary care provider immediately for possible fluid overload.

What is the rationale for using CPAP to treat sleep apnea?

Positive air pressure holds the airway open.

A client's most recent blood work indicates a K+ level of 7.2 mEq/L (7.2 mmol/L), a finding that constitutes hyperkalemia. For what signs and symptoms should the nurse vigilantly monitor?

cardiac irregularities

Cross-matching of blood is ordered for a client before major surgery. What does this process do?

determines compatibility between blood specimens

A nurse is preparing to administer a medication by intravenous piggyback. Where will the piggyback container be placed?

higher than the primary solution container

Arterial blood gases reveal that a client's pH is 7.20. What physiologic process will contribute to a restoration of correct acid-base balance?

increased respiratory rate

A client with dehydration is being administered IV fluids. During rounds, the nurse noticed that the skin immediately surrounding the IV site was reddish in color and showing signs of inflammation. The nurse recognizes that what phenomenon is likely responsible?

phlebitis

A nurse flushes an intravenous lock before and after administering a medication. What is the rationale for this step?

to clear medication and prevent clot formation