NR110: Exam 4 ATI

A nurse is planning care for a group of clients receiving oxygen therapy. Which of the following clients should the nurse plan to see first? A: A client who has heart failure & is receiving 100% oxygen via partial rebreather mask B: A client who has emphysema & is receiving at 3L/min via transtracheal oxygen cannula C: A client who has an old tracheostomy & is receiving 40% humidified oxygen via tracheostomy collar D: A client who has COPD & is receiving at 2 L/min via nasal cannula

A: A client who has heart failure & is receiving 100% oxygen via partial rebreather mask

A nurse is caring for a toddler at a well-child visit when the mother calls, "Help! My baby is choking on his food." Which of the following findings indicates the toddler has an airway obstruction? A: Flushing of the skin B: Inability to cry or speak C: Presence of nausea & mild emesis D: Capillary refill time of 1.5 sec

B: Inability to cry or speak

A nurse is caring for a client who is immobile. The nurse should recognize that immobility places the client at risk of which of the following health alterations? A: Increased intestinal mobility B: Respiratory alkalosis C: Decreased cardiac output D: Hypocalcemia

C: Decreased cardiac output

A nurse is caring for a client with dehydration who has developed hypovolemic shock. Which of the following laboratory values should the nurse expect for this client? A: BUN 18 mg/dL B: Capillary refill 1.5 sec C: Hct 55% D: Urine specific gravity 1.001

C: Hct 55%

A nurse has received a prescription for dextran to administer to a client. The nurse should recognize that dextran belongs in which of the following functional classifications? A: skeletal muscle relaxants B: beta-adrenergic blockers C: broad-spectrum anti-infective agents D: plasma volume expanders

D: plasma volume expanders