NUR 233 Exam 2 Review Questions

IV potassium chloride (KCl) 60 mEq is prescribed for treatment of a patient with severe hypokalemia. Which action should the nurse take?

Infuse the KCl at a rate of 10 mEq/hour

After receiving a change-of-shift report, which patient should the nurse assess first?

Patient with serum magnesium level of 1.1 mEq/L who has tremors and hyperactive deep tendon reflexes

A patient has a magnesium level of 1.3 mg/dL. Which assessment would help the nurse identify a likely cause of this value?

Daily alcohol intake

An older patient receiving iso-osmolar continuous tube feedings develops restlessness, agitation, and weakness. Which laboratory result should the nurse report to the health care provider immediately?

Na+ 154 mEq/L (154 mmol/L)

It is important for the nurse to assess for which clinical manifestation(s) in a patient who has undergone a total thyroidectomy

Positive Chvostek's sign

A client with a cardiac history is taking a potassium-wasting diuretic (furosemide) and is seen in the emergency department for complaints of weakness. You expect to evaluate which laboratory values?

Potassium and blood glucose

The nurse is caring for a patient with a potassium level of 2.8 mEq/L. Which assessment change related to this is most concerning?

The patient feels palpitations and has an irregular pulse

A patient has a serum calcium level of 7.0 mEq/L. Which assessment finding is most important for the nurse to report to the health care provider?

The patient is experiencing stridor

The nurse is feeding a client diagnosed with aspiration pneumonia who becomes dyspneic, begins to cough, and is turning blue. Which nursing intervention should the nurse implement first?

Turn the client to the side.

A patient comes to the clinic complaining of frequent, watery stools for the past 2 days. Which action should the nurse take first?

Check the patient's blood pressure. (should expect hypotension)

Clinical assessment of dehydration would be confirmed if you identified:

Dry mucous membranes

Implementation of nursing care for a patient with hyponatremia includes:

Fluid restriction

The nurse is reviewing a client's laboratory report and notes that the total serum calcium level is 6.0 mg/dL (1.66 mmol/L). The nurse understands which condition most likely caused this serum calcium level?

Prolonged Bed Rest

The nurse is caring for a patient with a medical diagnosis of hypernatremia. The following orders are written in the client's electronic health record. Which one should the nurse question?

Restrict oral intake to 900 mL every 24 hr

The nurse will perform which action for a wet-to-dry dressing change on a patients stage 3 sacral pressure injury?

Administer a prescribed PRN oral analgesic 30 minutes before the change

Research has shown that the primary reason nurses make medication errors is related to. Select all that Apply.

Events that distract the nurse during the administration process. Heavy client assignments that require massive medication administrations. The presence of multiple drugs with similar generic and trade names.

In a patient with prolonged vomiting, the nurse monitors for fluid volume deficit because vomiting results in:

Fluid movement from the cells into the interstitial space and the blood vessels

Which type of medications cannot be crushed, chewed, or opened? (Select all that apply).

Enteric coated tablets Sublingual Sustained Release tablets Extended Release tablets