NR 226 Quiz 2

A nurse discovers that a client received the wrong medication. Which of the following actions should the nurse take first?

Assess the client

A nurse is caring for a client with dehydration who has developed hypovolemic shock. Which of the following lab values should the nurse expect for this client?

Hct 55% Rationale: An elevated hematocrit indicates hypovolemia. Other indications include a weak pulse, tachycardia, hypotension, tachypnea, slow cap refill, elevated BUN, increased urine specific gravity, and decreased urine output.

A nurse is monitoring a client's laboratory results. Which of the following results should the nurse report to the provider?

Potassium 3.0 mEq/L

A nurse is caring for a group of clients. Which of the following tasks should the nurse assign to an assistive personnel?

Provide oral care to a client who cannot take oral fluids.

A nurse is witnessing a client sign an informed consent form for surgery. What is the nurse affirming by this action?

the signature on the preoperative consent is the client's

A nurse is caring for a client who has acute renal failure. Which of the following assessments provides the most accurate measure of the client's fluid status?

Daily weights

While admitting a client to the medical unit, the nurse asks him if he has advanced directives. The client states, "I have a document with me that names someone who can make health care decisions for me if I am not able." The nurse should identify that the client is referring to which of the following documents?

Durable power of attorney

A nruse is assessing a client who reports nausea and vomiting for 2 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Increased HR.

A nurse is caring for a client who has peripheral edema. The RN should identify that which of the following nutrients regulates extracellular fluid volume?

Sodium

A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client appears upset and refuses to take the medication before throwing the pill on the floor. Which of the following entries should the nurse document in the client's medical record?

The client threw the medication on the floor.

The nurse is planning care for an adult client who has fluid volume excess. Which of the following interventions should the nurse plan to include to monitor the client's weight?

Weight the client on arising.

A nurse is caring for a client who is receiving IV fluid replacement. Which of the following findings should the nurse identify as infiltration of the IV infusion site.

skin is taut around the IV catheter site that is cool to the touch.