Nursing 118 Chapter 8,9,10

When monitoring daily body weights to assess fluid volume deficit, the nurse, understands that a loss of 0.5kg (1.1lb) represents a fluid loss of approximately ____ mL.

500

A nurse on the oncology unit has arranged for a individual to lead meditation exercises for client's who are interested in this nonpharmacologic method of pain control. What's the category for nonpharmacologic interventions?

A mind-body method

A nurse should assess a patient with hypervolemia for indicators of hypotension, bradycardia, and oliguria. T/F

False

When planning the care of a client with a fluid imbalance, the nurse understands that in the human body, water and electrolytes move from the arterial capillary bed to the interstitial fluid. What causes this to occur?

Hydrostatic pressure resulting from the pumping action of the heart.

The nurse is performing an admission assessment on an older adult, newly admitted with end-stage liver disease. What principle should guide the nurse's assessment of the client's skin turgor?

Inelastic skin turgor is a normal part of aging.

Caring for a trauma client in the ED, client's ABG is the following: pH: 7.26, PaCO2: 28, HCO3: 11 mEq/L. How should the nurse interpret these results?

Metabolic acidosis with a compensatory respiratory alkalosis.

The agonist-antagonist opioids are designated as ____ because they bind more than one opioid receptor site.

Mixed

Morphine, Fentanyl, Hydromorphone, ( first line opioid analgesics ) which medication has the longest effect if taken orally?

Morphine

Why would a patient with cancer need increasingly high doses of analgesia?

Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings the client relief.

Major electrolytes in the ECF

Sodium & Chloride

The nurse is at a pain clinic feeling long-term, intractable pain. The pain team feels like that first line pharmacologic and non pharmacologic methods of pain relief have been ineffective. What recommendation should guide this client's subsequent care?

The client may benefit from a referral to a neurologist or neurosurgeon to discuss pain-management options.

Hyperglycemia, hypertension, and increased cortisol secretion are considered harmful effects of unrelieved pain. T/F

True

The cardinal feature of metabolic acidosis is a decrease in serum bicarbonate level. T/F

True

Vital to the regulation of fluid and electrolyte balance, the kidneys normally filter 180 L of plasma every day in the adult and excrete 1 to 2 L of urine.

True

A newly graduated nurse is admitting a client with a long history of emphysema. The nurse learns that the client's Pa CO2 has been between 56-64 mm Hg for several months. Why should the nurse be cautious administering oxygen?

Using oxygen may results in the client developing carbon dioxide narcosis and hypoxemia.

Should you awaken a post op patient with moderate to severe pain for their pain medications during the first 24-48 hours after surgery?

YES

Factors that increase BUN include decreased renal function, GI bleeding, ____ , increased protein intake, fever, and sepsis.

dehydration

when checking a patient's IV ensure the tubing is

firmly anchored to the client's skin

Tall tented T waves

hyperkalemia

Hyperventilation, with a resulting decrease in PaCO2, is an expected compensatory reaction to the acid-base disorder of ____ acidosis.

metabolic

a client receives morphine via IVP, the nurses come in to assess, respirations at 5, a code blue is called, what drug needs to be administrated to counter the effects of severe opioid sedation?

naloxone

When assessing pain intensity and duration, the nurse knows that ____ pain is due to damage to the peripheral or central nervous system.

neuropathic

Most reliable indicator of pain

patient

Hyperaldosteronism increases renal potassium wasting and can lead to

severe potassium depletion.

What would a nurse identify in a patient with cancer, that is needing more pain meds than normal since his diagnosis.

the patient is becoming more tolerant