Exam 4 review

A client with protracted nausea and vomiting has been receiving intravenous solution at 125 ml/h for the past several hours. The administration of this solution has resulted in an increase in blood pressure because the water in the solution has passed through the semipermeable membrane of blood cells, causing them to swell. What type of solution has the client been receiving?

A hypotonic solution

A registered nurse is overseeing the care of numerous clients on a busy acute medicine unit. Which task would be most safe to delegate to a licensed practical nurse (LPN)?

Changing the dressing on a client's peripheral IV site

A client who has multiple sclerosis (MS) has been diagnosed with ineffective coping related to a diagnosis of chronic health alteration. What outcome is least appropriate to include in a plan of care?

Communicates a sense of helplessness to his spouse.

The nurse is performing a psychosocial assessment on an older adult client. For which issue of clients in their later adult years should the nurse assess as a priority?

Depression and substance use

A nurse is working with a 16 year-year-old client who is concerned that her parents will shun and reject her upon finding out that she is pregnant. Based upon Coopersmith's four bases of self-esteem, this adolescent is concerned about which base of self-esteem?

Significance

The parent of a toddler brings the child to the clinic for a well-child visit. The nurse is teaching the parent about ways to promote a positive self-concept. Which concept would the nurse need to integrate into the education plan?

Toddlers lack an understanding of where their bodies end.

Which client would be a candidate for total parenteral nutrition?

a client with colitis and bloody diarrhea

A nurse integrates knowledge of developmental levels and their influence on self-concept when planning client care. The nurse would expect a client in which developmental stage to begin to examine the meaning of self?

older adult

When a person selects, organizes, and interprets sensory stimuli, the process is termed:

perception.

A client has been receiving intravenous (IV) fluids that contain potassium. The IV site is red and there is a red streak along the vein that is painful to the client. What is the priority nursing action?

remove the IV

A new graduate nurse has recently started a new job in a long-term care facility. In the interview, the student was told there will be two weeks of orientation prior to working independently. After the first night of work, the student was informed the facility is short staffed and the nurse would be working independently. What is this new graduate at risk for developing?

role ambiguity

The nurse is interviewing a client and the client describes how they feel others perceive them. How does the nurse document this description?

social self