nurs 111 f&e prepu

The newborn weighing 6 lb 6 oz (2856 g), now weighs 5 lbs 14 oz (2632 g), 2 days later. Which response should the nurse prioritize to address the mother's concerns about the weight loss? "We need to do a more in-depth assessment." "This is a normal response." "How often are you feeding your baby?" "You may need to supplement breast-feedings for a while."

"This is a normal response."

Which urine output indicates that a 5-month-old weighing 15 lb (6.8 kg) and being treated for dehydration has a normal urine output? 1 to 2 mL/kg/h 3 to 5 mL/kg/h 6 to 8 mL/kg/h 10 to 12 mL/kg/h

1 to 2 mL/kg/h

The nurse notes that a patient who is retaining fluid had a 1-kg weight gain. The nurse knows that this is equivalent to about how many mL? 250 mL 500 mL 750 mL 1,000 mL

1,000 mL

The health care provider (HCP) prescribes an intravenous infusion of 5% dextrose in 0.45 normal saline to be infused at 2 mL/kg/h in an infant who weighs 9 lb (4.1 kg). How many milliliters per hour of the solution should the nurse infuse? Round to one decimal place.

8.2

A client has a significant history of congestive heart failure. What should the nurse specifically assess during the client's semiannual cardiology examination? Select all that apply. Examine the client's neck for distended veins. Monitor the client for signs of lethargy or confusion. Examine the client's joints for crepitus. Examine the client's eyes for excess tears.

Examine the client's neck for distended veins. Monitor the client for signs of lethargy or confusion.

In an industrial accident, a client who weighs 155 lb (70 kg) sustained full-thickness burns over 40% of his body. He's in the burn unit receiving fluid resuscitation. Which finding shows that the fluid resuscitation is benefiting the client? A urine output consistently above 40 ml/hour (40 mL/hour) A weight gain of 4 lb (2 kg) in 24 hours Body temperature readings all within normal limits An electrocardiogram (ECG) showing no arrhythmias

A urine output consistently above 40 ml/hour (40 mL/hour)

A nurse completes a shift assessment on a client admitted to the telemetry unit with a diagnosis of syncope. The client's heart rate is 55 bpm with a blood pressure of 90/66 mm Hg. The client is also experiencing dizziness and shortness of breath. Which medication will the nurse anticipate administering to the client based on these clinical findings? Atropine Lidocaine Pronestyl Cardizem

Atropine

A 26-year-old primigravida visiting the prenatal clinic for her regular visit at 34 weeks' gestation tells the nurse that she takes mineral oil for occasional constipation. What should the nurse should instruct the client to do? Take the mineral oil with fruit juice to increase the action of the mineral oil. Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins. Avoid mineral oil because it can lead to vitamin C deficiency in pregnant clients. Use the mineral oil regularly on a weekly basis to prevent constipation.

Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins.

A client has been diagnosed with right-sided heart failure. The nurse should assess the client further for: Intermittent claudication. Dyspnea. Dependent edema. Crackles.

Dependent edema.

Which diagnostic study is usually performed to confirm the diagnosis of heart failure? Electrocardiogram (ECG) Echocardiogram Serum electrolytes Blood urea nitrogen (BUN)

Echocardiogram

A client with chronic renal failure complains of generalized bone pain and tenderness. Which assessment finding would alert the nurse to an increased potential for the development of spontaneous bone fractures? Elevated serum creatinine Hyperkalemia Hyperphosphatemia Elevated urea and nitrogen

Hyperphosphatemia

A client has a medical diagnosis of an advanced AV block and is symptomatic due to a slow heart rate. With what initial treatment(s) should the nurse be prepared to assist? IV bolus of atropine or temporary pacing Cardioversion or IV bolus of dopamine A maze procedure or IV bolus of furosemide Cardiac catheterization

IV bolus of atropine or temporary pacing

Which is a characteristic of right-sided heart failure? Jugular vein distention Dyspnea Pulmonary crackles Cough

Jugular vein distention

A client has partial-thickness burns on both lower extremities and portions of the trunk. Which I.V. fluid does the nurse plan to administer first? Albumin Dextrose 5% in water (D5W) Lactated Ringer's solution Normal saline solution with 20 mEq of potassium per 1,000 ml

Lactated Ringer's solution

Potassium is needed for neural, muscle, and: optic function. auditory function. cardiac function. skeletal function.

cardiac function.

The nurse observes that a postsurgical client has hemorrhaged and is in hypovolemic shock. Which nursing intervention will manage and minimize hemorrhage and shock? Elevating the head of the bed Reinforcing the dressing or applying pressure if bleeding is frank Monitoring vital signs every 15 minutes Encouraging the client to breathe deeply

Reinforcing the dressing or applying pressure if bleeding is frank

A child has been prescribed Stimate (esmopressin) acetate for the treatment of diabetes insipidus. The client and the parents ask the nurse how this drug works. What is the correct response by the nurse? Stimate (esmopressin) acetate works on your pancreas to stimulate insulin production Stimate (esmopressin) acetate is a synthetic form of insulin used to lower your blood sugar Stimate (esmopressin) acetate is a synthetic antidiuretic hormone that will slow down your urine output Stimate (esmopressin) acetate works to help your kidneys work more efficiently

Stimate (esmopressin) acetate is a synthetic antidiuretic hormone that will slow down your urine output

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 muscle weakness increased intracranial pressure (ICP) metabolic acidosis

cardiac irregularities

As a representative of the treatment team, a nurse is reviewing results of diagnostic studies with the family of an adolescent with anorexia nervosa. What explanation should the nurse give the family about the client's abnormal blood urea nitrogen (BUN) value? "The BUN is decreased because your daughter has developed hypothyroidism." "The BUN is elevated because your daughter has hypoglycemia." "The BUN is decreased because your daughter is hypertensive." "The BUN is elevated because your daughter is dehydrated."

You Selected: "The BUN is elevated because your daughter is dehydrated."

A 12-hour-old infant is receiving IV fluids for polycythemia. For which complication should a nurse monitor this client? tachycardia hypotension decreased level of consciousness fluid overload

fluid overload

When the bladder contains 400 to 500 mL of urine, this is referred to as anuria. specific gravity. functional capacity. renal clearance.

functional capacity.

The nurse monitors the serum electrolyte levels of a client who is taking digoxin. Which electrolyte imbalance is a common cause of digoxin toxicity? hyponatremia hypomagnesemia hypocalcemia hypokalemia

hypokalemia

Which is the most common cause of symptomatic hypomagnesemia? Intravenous drug use Alcoholism Sedentary lifestyle Burns

Alcoholism

A patient admitted with electrolyte imbalance has carpopedal spasm, ECG changes, and a positive Chvostek sign. What deficit does the nurse suspect the patient has? Calcium Magnesium Phosphorus Sodium

Calcium

A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse informs the client that the physician will order diuretic therapy and restrict fluid and sodium intake to treat the disorder. If the client doesn't comply with the recommended treatment, which complication may arise? Cerebral edema Hypovolemic shock Severe hyperkalemia Tetany

Cerebral edema

To detect complications as early as possible in a child with meningitis who's receiving I.V. fluids, monitoring for which condition should be the nurse's priority? Cerebral edema Renal failure Left-sided heart failure Cardiogenic shock

Cerebral edema

A child with partial- and full-thickness burns is admitted to the pediatric unit. What should be the priority at this time? preventing wound infection evaluating vital signs frequently maintaining fluid and electrolyte balance managing the child's pain

maintaining fluid and electrolyte balance

Which symptom is an early indication that the client's serum potassium level is below normal? diarrhea sticky mucous membranes muscle weakness in the legs tingling in the fingers

muscle weakness in the legs

The client is experiencing nausea and vomiting following surgery. The nurse expects the surgeon to order: chlorpromazine (Thorazine) omeprazole (Prilosec) ondansetron (Zofran) ranitidine (Zantac)

ondansetron (Zofran)