Med surg Test 3

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - 22.5 mL

15 x 30 = 450 450/20 = 22.5

A nurse is monitoring a client who is dehydrated. Which of the following laboratory findings should the nurse report to the provider? - BUN 25 mg/dL - Creatinine 0.9 mg/dL - Urine specific gravity 1.028 - Hematocrit 45%

Bun 25 md/dl

A nurse is reviewing the medication record of a client who has heart failure and has a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as a possible cause of the client's potassium level? - Furosemide - Nitroglycerin - Metoprolol - Spironolactone

Furosemide because it increase urination

A nurse is collecting data from a client who has a sodium level of 128 mEq/L. Which of the following manifestations should the nurse expect? - Hyporeflexia - Headache - Constipation - Increased appetite

Headache

Chvostek's sign is a sign of what?

Hypocalcemia you tap underneath the eye to see if the patient face twitches.

35. A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7mg/dL. Which of the following client findings should the nurse expect? - Muscle tetany - Hypertension - Increased thirst - Diaphoresis

Muscle Tetany

21. A nurse in a provider's office is collecting data from a client who takes furosemide daily for heart failure. Which of the following findings is a manifestation of hypokalemia? - Reports of numbness in the feet - Reports of fatigue - Increased bowel sounds - Positive Trousseau's sign

Reports of fatigue

A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L, sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take? - Discontinue the TPN infusion. - Request a potassium replacement. - Administer glucagon IM. - Check the client for a positive Chvostek's sign.

Request a Potassium replacement

A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration? - Red mucous membranes - Jugular vein distention - Skin tenting - BP 178/90 mm Hg

Skin Tenting

A nurse is reinforcing teaching with a middle-age client who is at high risk for osteoporosis and is taking oral calcium gluconate. Which of the following instructions should the nurse include in the teaching? - Take the calcium supplement on an empty stomach. - Take vitamin D supplements. - Take the calcium supplement with whole grain cereal at breakfast. - Take with zinc-rich foods.

Take Vitamin D supplements

A nurse is collecting data from a client who has a calcium level of 8 mg/dL. Which of the following manifestations should the nurse expect? - Elevated blood pressure - Tetany - Constipation - Negative Chvostek sign

Tetany

The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection? - The nurse dons gloves before starting the IV. - The nurse applies a tourniquet to assess a vein. - The nurse cleans the area with an alcohol pad - The nurse blows on the area cleansed with alcohol to dry it quickly

The nurse blows on the area cleansed with alcohol to dry it quickly

An 87 year old patient recovering from abdominal surgery has a continuous intravenous infusion to supply nutrients and antibiotics. What complication should you suspect when signs and symptoms of redness, warmth, and pain at the infusion site are reported? Phlebitis Thrombosis Hematoma Speed Shoc

a

A nurse is assigned a group of postoperative clients. Which of the following client finding should the nurse identify as the priority? - SaO2 88% - Client report of incisional pain at a level of 6 on a 0 to 10 scale - Infiltration of client's IV access - Temperature 36.1° C (97.0° F)

sa02 88%

nurse is reinforcing discharge teaching with a client about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching? - "I will eat cantaloupe for my morning snack." - "I can plan to eat rice instead of baked potatoes." - "I will miss eating yogurt every day for breakfast." - "Adding pecans will be a change I can readily make."

"I will eat cantaloupe for my morning snack"

A nurse is caring for a client who has a new prescription for a low-sodium diet. The client's partner asks to bring in food from home that does not match the client's diet plan. Which of the following responses should the nurse make? - "Why would you want to put your partner's health at risk?" - "Everyone likes home-cooked food, but he can't have it." - "You should discuss your concerns with your partner's provider as soon as possible." - "Let's discuss ways to incorporate your partner's favorite foods into his diet plan."

"Lets discuss ways to incorporate your partners favorite foods into his diet plan"

A nurse is caring for a client who is postoperative and has an NG tube that has drained 2,500 mL in the past 6 hr. The nurse should monitor the client for which of the following electrolyte imbalances? - Elevated sodium level - Decreased potassium level - Elevated magnesium level - Decreased calcium level

- Decreased potassium level

A nurse is phoning a provider to report a client's serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe? - Acetylcysteine - Potassium iodide - Sodium polystyrene sulfonate - Lactulose

- Sodium Polysterene sulfonate

Which of the following solutions can be administered with a blood component? - Lactated Ringers solution - 5% dextrose/0.2% sodium chloride - 5% dextrose/0.45% sodium chloride - 0.9% sodium chloride

0.9% sodium chloride

A nurse is assisting with the admission of a client who is dehydrated. Which of the following BUN levels should the nurse expect the client to have? - 3.6 mg/dL - 9 mg/dL - 18.7 mg/dL - 24 mg/dL

24 mg/dl

10. A nurse is assisting with care of a client who has a prescription for 3,000 mL of intravenous fluids over the next 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number) - 125 mL/hr

3000 divided by 24= 125

A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero. - 94 mL/hr

750/8 = 93.75 = 94

Which of the following complications can occur if a clotted cannula is flushed too aggressively? - The catheter can become dislodged and fall out. - a painful arterial spasm can occur - the patient can experience speed shock - A clot can be forced into the circulation causing serious complication

A clot can be forced into the circulation causing serious complications

For which patient would a port be most beneficial? - A patient receiving a dose of piperacillin-tazobactam (Zosyn) - A patient being rehydrated with normal saline - A patient receiving a blood transfusion for anemia - A patient receiving chemotherapy

A patient receiving chemotherapy

A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply). - Orange juice - Watermelon - Bananas - Corn flakes cereal - White rice

Bananas Orange Juice

Which is the most reliable method for monitoring fluid balance? - Daily input and output - Daily weights - Vital signs - skin turgor

Daily weights

A nurse is collecting data from a client who has a calcium level of 12 mg/dL. Which of the following manifestations should the nurse expect? - Hypotension - Decreased deep tendon reflexes - Diarrhea - Increased appetite

Decreased deep tendon reflexes

A nurse is collecting data from a client who has a sodium level of 155 mEq/L. Which of the following manifestations should the nurse expect? - Cool, clammy skin - Hypertension - Increased salivation - Decreased level of consciousness

Decreased level of consciousness

A 93 year old patient with diarrhea and dehydration is admitted to the hospital from a long term care facility. For which of the following symptoms of dehydration should the nurse assess? - Pale-colored urine, bradycardia - Disorientation, poor skin turgor - Decreased hematocrit, hypothermia - Lung congestion, abdominal discomfort

Disorientation, poor skin turgor

A nurse is caring for a client who has osteoporosis and is taking calcium carbonate. The nurse should monitor the client for which of the following adverse effects? - Tinnitus - Urinary retention - Flank pain - Bradycardia

Flank Pain

A patient in an outpatient oncology clinic is going to have a peripherally inserted central catheter line placed and wants to know what that means. What is the best response by the nurse? - "It is a catheter that is inserted into your jugular vein and ends in the central circulation." - "It is just a regular IV, but an extra small catheter is used to prevent vein irritation." - "It is a percutaneous intravenous core catheter." - "It is an intravenous device that is inserted into your arm and ends in the circulation near your heart

It is an intravenous device that is inserted into your arm and ends in the circulation near your heart

A nurse is assisting with the care of a client who is hypovolemic due to blood loss following a motor-vehicle crash and needs a blood transfusion immediately. The nurse should anticipate a prescription for which of the following IV solutions while awaiting blood from a type and cross- match? - 0.45% sodium chloride - Lactated Ringer's - Dextrose 10% in water - 0.33% sodium chloride

Lactated ringers It is a filler for blood

A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L. The nurse notifies the provider and anticipates that the provider will provide which of the following instructions? - Administer potassium gluconate 40 mEq orally. - Obtain a 12-lead ECG. - Restrict fluid intake. - Have the laboratory draw a blood sample for an erythrocyte sedimentation rate.

Obtain a 12 - lead ECG

A nurse is collecting data from an older adult who is postoperative and receiving IV therapy at 125 mL/hr. The nurse should identify that which of the following findings indicates the client is experiencing fluid volume overload? (Select all that apply.) - Bounding radial pulse - Periorbital edema - Swelling at the IV site - Flat neck veins when supine - Crackles in lung bases

Periorbital edema bounding radial pulse crackles in lungs weight gain

What type of access device is inserted into a superficial peripheral vein of the arm and advanced into the central system to the superior vena cava? - Peripherally inserted central catheter (PICC) - cannula - peripheral IV - Port

Peripherally inserted central catheter (PICC)

While assessing an older adult patient with fluid excess, the nurse notes the following: T = 98.6°F, P = 92, R = 18, BP = 166/88 mm Hg, bilateral crackles, oxygen saturation = 95%. Which action should the nurse take first? - Provide oxygen at 2 L per nasal cannula. - Place the patient in a high Fowler position. - Provide a urinal and encourage the patient to void. - Lay the patient flat in bed to listen to bowel sounds.

Place the patient in a high gowler position

A nurse in a community clinic is collecting data from a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.) - Poor skin turgor - Bradycardia - Hypotension - Pale yellow urine - Flat neck veins

Poor skin turgor hypotension Flat neck veins

A nurse is caring for a client who has acute dehydration is receiving IV fluids. Which of the following laboratory values indicates to the nurse that the current treatment regimen is effective? - Sodium 165 mEq/L - Potassium 3.2 mEq/L - Urine specific gravity 1.020 - Hematocrit 62%

Urine specific gravity 1.020

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated? - Urine specific gravity 1.034 - Bounding pulse - BP 146/94 mm Hg - Distended neck veins

Urine specific gravity 1.034

A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect? - Weak pulse - Bradycardia - Pitting Edema - Distended neck veins

Weak Pulse

A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority? Weight loss of 3% of total body weight. Blood glucose 150 mg/dL (70 - 105 mg/dL) Potassium 2.5 mEq/L (3.5 - 5.- mEq/L) Urine specific gravity 1.035 (1.005 - 1.030)

c

A patient in an outpatient oncology clinic is going to have a peripherally inserted central catheter line placed and wants to know what that means. What is the best response by the nurse? "It is a catheter that is inserted into your jugular vein and ends in the central circulation." "It is just a regular IV, but an extra small catheter is used to prevent vein irritation." "It is a percutaneous intravenous complex catheter." "It is an intravenous device that is inserted into your arm and ends in the circulation near your hear

d

Which of the following solutions can be adminsitered with a blood component? Lactated Ringers solution 5% dextrose/0.2% sodium chloride 5% dextrose/0.45% sodium chloride 0.9% sodium chlorid

d