Final Review

A nurse is caring for a client who has hypernatremia and required IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client? a. Lactated Ringers b. 3% sodium chloride c. 0.45% sodium chloride d. Dextrose 10% in water

0.45% NaCl

A nurse is monitoring the urinary output of an adult client who had a colon resection. Which of the following 24 hr output total's most likely indicates oliguria? a. 720 b. 550 c. 300 d. 500

300

A nurse is the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate a. Complete muscular assessment b. Administer an an c. Decrease environmental stimuli d. Assess the cranial nerves

Assess the cranial nerves

A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia. The nurse should indicate the need for taking which of the following actions? a. Defibrillate b. Electrocardioversion c. CPR d. Radiofrequency ... ablation

Electrocardioversion

A nurse is assessing a client who is in skeletal traction. Which of the following should the nurse identify as an indication of infection at the pin sites? a. Serosanguineous drainage b. Mild erythema c. Warmth d. Fever

Fever

A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care? a. Keep the clients affected leg elevated.... b. Have..... c. Apply... d. Massage...

Keep the clients affected leg elevated

A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip? a. Pacemaker spikes after QRS complex b. Pacemaker spikes before each P... c. Pacemaker spikes before each QRS complex d. Pacemaker spikes .... Each T wave.

Pacemaker spikes before each QRS complex

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 b. Potassium 3.5 c. Magnesium 1.9 d. Chloride 99

Sodium 126

A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8. Which of the following medications should the nurse plan to administer? a. Lactulose b. Magnesium c. Sodium polystyrene d. Chloride

Sodium Polystyrene

A nurse is preparing to administer moxifloxacin 400 mg by intermittent IV bolus over 60 min. Available is moxifloxacin 400mg in 250 ml dextrose 5% (D5W). The drip factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

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