Think Tank Week 6

A nurse is documenting the intake for a client who is scheduled for an abdominal computed axial tomography (CT) scan. Prior to the scan, the client consumes 12 oz sodium diatrizoate meglumine diatrizoate. The client has an IV of D 5 1/2 NS running at 75 mL/hr from 0700 until 1200. The IV runs at 30 mL/hr from 1200 to 1500. At 1500, the client has 6 0z of juice. How many mL should the nurse document as the client's intake for the shift?

1,005 mL

A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

28 gtt/min

A nurse is reviewing the laboratory results of a client who is dehydrated. Which of the following BUN lab values should the nurse report to the provider?

A. 25 mg/dL

A nurse is planning care for a client who is receiving enteral feedings through the NG tube. Which of the following actions should the nurse plan to take first?

A. Aspirate the client's stomach contents

A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply).

A. Bicarbonate excess D. Curcumoral paresthesia

A nurse is caring for a client who is postoperative following an appendectomy. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse offer the client? (Select all the apply).

A. Broth B. Grape Juice E. Lemon Gelatin

A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?

A. Nausea and vomiting

A nurse is assessing 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).

A. Poor skin turgor C. Hypotension E. Flat neck veins

A nurse is reviewing a client's lab results. Which of the following lab values should the nurse report to the provider?

A. Sodium 126 mEq/L

A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?

A. Urine specific gravity 1.035 (Normal sodium level during fluid volume deficit. Hematocrit is higher with fluid volume deficit, expected range for men: 38-48% and women: 35-45%, 1.005-1.030 expected range for urine specific gravity)

A nurse is caring for a client who is receiving enteral tube feeding and has a new prescription to dilute the formula. The nurse recognizes this is being done to resolve which of the following conditions?

B. Diarrhea

A nurse is admitting a client who has influenza and is reporting numbness and tingling of the toes and fingers. The nurse should recognize the client is experiencing which of the following acid-base imbalances?

B. Metabolic alkalosis

A nurse is assessing a client and discovers the infusion pump with the client's total parental nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?

B. Shakiness and diaphoresis

A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?

C. 0.45% sodium chloride (hypotonic fluid)

A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?

C. Dehydration

A nurse is admitting a client who is dehydrated. Which of the following BUN levels should the nurse expect the client to have upon admission?

D. 35 mg/dL (dehydration=high BUN, expected reference range for BUN: 10-20)

A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered?

D. Albumin

A nurse is reviewing the medical record of a client who has a potassium level of 3.0 mEq/L. Which of the following findings should the nurse recognize as a potential causative factor?

D. Client has an NG tube to gastric suction

A nurse is caring for four client who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?

D. The client who has a nasogastric (NG) tube to suction (Expected reference range for potassium: 3.5-5)

A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia?

D. Weak pulse

A nurse is admitting a client who reports flu-like symptoms with hyperactive reflexes and a new onset of confusion. The nurse should recognize that the client is experiencing which of the following conditions?

Metabolic alkalosis?