Test 1 practice questions
A nurse is caring for a client with a history of cirrhosis who has been admitted with manifestations of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following laboratory tests to determine the possibility of recent excessive alcohol use? A. GGT B. ALP C. Serum bilirubin D. ALT
A
Which of the following is appropriate to teach for a patient having an open cholecystectomy?
demonstrate ways to deep breathe and cough
Alcohol is always the cause of pancreatitis T/F
false
What is an adverse effect of lactulose?
hypokalemia
What is the priority order for a patient with acute pancreatitis?
pain management
A nurse is caring for a client who is 4hr postoperative following a laparoscopic cholecystectomy. Which of the following findings should the nurse expect? A. Right shoulder pain B. Urine output 20mL/hr C. Temperature 101.1F D. O2 sat 92%
A
What clinical manifestation would the nurse expect from a client with cholecystitis?
RUQ pain radiating to back
A nurse in the emergency department is assessing a client who has pancreatitis. In which of the following laboratory results should the nurse expect to see an elevation? A. Amylase B. Potassium C. Calcium D. Hematocrit
A
A nurse is preparing a community education program about hepatitis B. Which of the following statements should the nurse include in the teaching? A. "A hepatitis B immunization is recommended for those who travel, especially military personnel." B. "A hepatitis B immunization is given to infants and children." C. "Hepatitis B is acquired by eating food that are contaminated during handling." D. "Hepatitis B can be prevented by using good personal hygiene habits and proper sanitation."
B
A nurse is preparing to administer pancrelipase to a client who has pancreatitis. Which of the following actions should the nurse take? A. Instruct the client to chew the medication before swallowing B. Offer a glass of water following medication administration C. Administer the medication 30 min before meals D. Sprinkle the contents on peanut butter
B
A nurse is providing discharge teaching to the partner of a client who has a new diagnosis of hepatitis A. Which of the following instructions should the nurse include in the teaching? A. "During this illness, she may take acetaminophen for fevers or discomfort." B. "Encourage her to eat foods that are high in carbohydrates." C. "The provider will prescribe a medication to help her liver heal faster." D. "Have her perform moderate exercise to restore her strength more quickly."
B
A nurse in a clinic is reviewing the laboratory report of a client who has suspected cholelithiasis. Which of the following is an expected finding? A. Blood amylase 80 units/L: B. WBC 9,000/mm3 C. Direct bilirubin 2.1mg/dL D. Alkaline phosphatase 25units/L
C
A nurse is assessing a client before administering the hepatitis B vaccine. Which of the following allergies should the nurse identify as a contraindication to receiving this vaccine? A. Shellfish B. Gelatin C. Baker's yeast D. Eggs
C
A nurse is assessing a client who has pancreatitis. Which of the following findings should the nurse identify as a manifestation of pancreatitis? A. Generalized cyanosis B. Hyperactive bowel sounds C. Gray-blue discoloration of the skin around the umbilicus D. Wheezing in the lower lung fields
C
A nurse is caring for a client who develops disequilibrium syndrome after receiving hemodialysis. Which of the following actions should the nurse take? A. Administer an opioid medication B. Monitor for hypertension C. Assess level of consciousness D. Increase the dialysis exchange rate
C
A nurse is caring for a client who has abdominal pain and possible pancreatitis. Which of the following laboratory results should the nurse identify as an indication of pancreatitis? A. Decreased WBC count B. Increased albumin level C. Increased serum lipase level D. Decreased blood glucose level
C
A nurse is caring for a client who received prochlorperazine 4hr ago. The client reports spasms of the face. The nurse should expect a prescription for which of the following medications? A. Fomepizole B. Naloxone C. Phytonadione D. Diphenhydramine
D
What clinical manifestation would the nurse expect from a patient with acute pancreatitis?
LUQ pain
Which finding in the first 24 hours after kidney transplantation requires immediate intervention? a.Abrupt decrease in urine output b.Blood-tinged urine c.Incisional pain d.Increase in urine output
a.Abrupt decrease in urine output
Which of the following conditions is treated with lactulose?
ammonia
A community health nurse is planning an education program about hepatitis A. When preparing the materials, the nurse should identify that which of the following groups is most at risk for developing hepatitis A? A. children B. older adults C. Women who are pregnant D. Middle-aged men
A
A nurse is assessing a client who has cholecystitis. Which of the following findings should the nurse expect? A. Blumberg's sign B. Ascites C. GI Bleeding D. Kehr's sign
A
A nurse is evaluating a 20-month-old child who received a hepatitis A immunization 3 days ago. The parent reports that the child has exhibited a loss of a appetite following the immunization. Which of the following actions should the nurse take? A. Tell the parent that this reaction should only last for a couple days B. Notify the provider immediately C. Prepare an antidote to administer to the child D. Request that the provider order a serum titer level
A
A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the client's medical history should the nurse identify as a contraindication to the administration of this medication? A. History of cirrhosis B. History of multiple sclerosis C. History of cerebral palsy D. History of malignant hyperthermia
A
A nurse is reviewing risk factors with a client who has cholecystitis. The nurse should identify that which of the following is a risk factor for cholecystitis? A. Obesity B. Rapid weight gain C. Decreased blood triglyceride level D. Male sex
A
A nurse is teaching dietary-modification strategies to a client who has been newly diagnosed with cirrhosis. Which of the following foods should the nurse recommend? A. Grilled chicken B. Potato soup C. Fish sticks D. Baked ham
A
The nurse is reviewing the care needs for a patient with acute pancreatitis. Which intervention should the nurse make a priority for this patient? A. Administer analgesics as ordered B. Provider oral care C. Measure daily weight D. Monitor for malnutrition
A
Which of the following labs would you expect in a patient newly diagnosed with hepatitis? A. ALT 100u/L B. BUN 12mg/dL C. creatinine 0.89 mg/dL D. WBC 9000mm3
A
A 12 month old child just received the first measles, mumps, and rubella (MMR) vaccine. For which of the following findings should the nurse instruct the family to monitor for as adverse effects of the MMR vaccine? SATA A. Rash B. Swollen glands C. Bruising D. Headaches E. Inconsolable crying
A B C
A nurse is completing nutrition teaching for a client who has pancreatitis. Which of the following statements by the client indicates an understanding of the teaching? SATA A. "I plan to eat small, frequent meals." B. "I will eat easy-to-digest foods with limited spice." C. "I will use skim milk when cooking." D. "I plan to drink regular cola." E. "I will limit alcohol intake to two drinks per day."
A B C
A nurse is planning care for a client who has postrenal AKI due to metastatic cancer. The client has a blood creatinine of 5mg/dL. Which of the following interventions should the nurse include in the plan? SATA A. Provide a high-protein diet B. Assess the urine for blood C. Monitor for intermittent anuria D. Weigh the client once per week E. Provide NSAIDs for pain
A B C
A nurse is admitting a client who has cirrhosis. Which of the following prescriptions should the nurse anticipate? SATA A. Obtain the client's PT & INR measurements B. Administer lactulose 30mL PO 4 times daily C. Obtain daily weight and abdominal girth measurements D. Administer a multivitamin E. Place the client on a low-protein diet
A B C D
A nurse is planning postprocedure care for a client who received hemodialysis. Which of the following interventions should the nurse include in the plan of care? A. Check BUN and blood creatinine B. Administer medications the nurse withheld prior to dialysis C. Observe for findings of hypovolemia D. Assess the access site for bleeding E. Evaluate blood pressure on the arm with AV access
A B C D
A nurse is planning care for a client who Stage 4 chronic kidney disease. Which of the following actions should the nurse include in the plan of care? SATA A. Assess for jugular vein distention B. Provide frequent mouth rinses C. Auscultate for a pleural friction rub D. Provide a high-sodiumdiet E. Monitor for dysrhythmias
A B C E
A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect to administer to this client? SATA A. Diuretic B. Beta-blocking agent C. Opioid analgesic D. Lactulose E. Sedative
A B D
A nurse is planning care for a client who will undergo peritoneal dialysis. Which of the following actions should the nurse take? SATA A. Monitor blood glucose levels B. Report cloudy dialysate return C. Warm the dialysate in a microwave oven D. Assess for shortness of breath E. Check the access site dressing for wetness F. Maintain medical asepsis when accessing the catheter insertion site
A B D E
A nurse is preparing to initial hemodialysis for a client who has acute kidney injury. Which of the following actions should the nurse take? SATA A. Review the medications the client currently takes B. Assess the AV fistula for a bruit C. Calculate the client's hourly urine output D. Measure the client's weight E. Check blood electrolytes F. Use the access site are for venipuncture
A B D E
A nurse is planning to administer ondansetron to a client. For which of the following adverse effects of ondansetron should the nurse monitor? SATA A. Headache B. Diarrhea C. Shortened PR interval D. Hyperglycemia E. Prolonged QT interval
A B E
A nurse is teaching a client who has hepatitis B about home care. Which of the following instructions should the nurse include in the teaching? SATA A. Limit physical activity B. Avoid alcohol C. Take acetaminophen for comfort D. Wear a mask when in public places E. Eat small frequent meals
A B E
A nurse is caring for an infant who has biliary atresia. Which of the following manifestations should the nurse expect? SATA A. Yellow sclerae B. Rapid weight gain C. Tar-colored stools D. Abdominal distention E. Dark urine
A D E
A nurse is assessing a client who is 12hr postoperative following an open cholecystectomy. Which of the following findings should the nurse report to the provider? A. Hypoactive bowel sounds B. Indwelling urinary catheter output of 25mL/hr C. HR of 96/min D. Serous drainage at the surgical incision site
B
A nurse is assessing a client who is in the early stages of hepatitis A. Which of the following manifestations should the nurse expect? A. Jaundice B. Anorexia C. Dark urine D. Pale feces
B
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following laboratory findings should the nurse expect? A. Presence of immunoglobulin G antibodies (IgG) B. Positive EIA test C. ALT 35 units/L D. ALT 15 IU/L
B
A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for isoniazid. Which of the following laboratory values should be monitored while the client is taking isoniazid? A. TSH B. AST C. Potassium D. Sodium
B
A nurse is caring for a group of clients in a long-term care facility. The nurse should understand that which of the following clients is eligible for hospice services at this time? A. A client who has multiple sclerosis and uses a wheelchair B. A client who has end-stage cirrhosis C. A client who has hemiplegia due to a stroke D. A client who has cancer and receives weekly radiation therapy
B
A nurse is caring for an adult client who has pancreatitis. The client tells the nurse, "I've decided that I want to go home. I don't want any more treatment." The nurse should recognize that which of the following legal principles applies to the client? A. The admitting provider needs to approve the client's request to leave. B. The client has the right to make the decision to leave the hospital C. The client should be detained if leaving presents a risk of loss of life or limb D. The client must demonstrate self-care abilities prior to leaving the acute care facility
B
A nurse is caring for several clients who came to the clinic for a seasonal influenza immunization. The nurse should identify that which of the following clients is a candidate to receive the vaccine via nasal spray rather than an injection? A. 1 year old who has no health problems B. 17 year old who has a hypersensitivity to penicillin C. 25 year old who is pregnant D. 52 year old who takes a vitamin supplement
B
A nurse is completing preoperative teaching for a client who is scheduled for a laparoscopic cholecystectomy. Which of the following should be included in the teaching? A. "The scope will be passed through your rectum." B. "You might have shoulder pain after surgery." C. "You will have a Jackson-Pratt drain in place after surgery." D. "You should limit how often you walk for 1-2 weeks."
B
A nurse is reviewing client laboratory data. Which of the following findings is expected for a client who has Stage 4 chronic kidney disease? A. BUN 15mg/dL B. GFR 20mL/min C. Blood creatinine 1.1mg/dL D. Blood potassium 5.0mEq/L
B
A nurse is teaching a client about preventing the transmission of hepatitis A. The nurse should identify that hepatitis A is transmitted by which of the following routes? A. Maternal-fecal B. Fecal-oral contamination C. Genital sexual contact D. Blood to blood
B
A patient experiences pain in the upper right quadrant, which radiates to the right scapula and shoulder and becomes worse with movement and deep breathing. Which reason should the nurse suspect for this patient's pain? a. Appendicitis B. Acute cholecystitis C. Pancreatitis D. Cirrhosis
B
A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following findings as indicators of hepatic encephalopathy? SATA A. Anorexia B. Change in orientation C. Asterixis D. Ascites E. Fetor hepaticus
B C E
A nurse is providing discharge teaching to a client who is postoperative following a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the teaching? SATA A. Take baths rather than showers B. Resume a diet of choice C. Cleans the puncture site using mild soap and water D. Remove adhesive strips from the puncture site in 24hr E. Report nausea and vomiting to the surgeon
B C E
A nurse at a provider's office is preparing to administer RV, DTap, Hib, PCV13, and IPV immunizations to a 4-month-old infant. Which of the following actions should the nurse plan to take? SATA A. Administer IPV orally B. Administer subcutaneous injections in the anterolateral thigh C. Administer IM injections in the deltoid muscle D. Give the infant a pacifier during vaccine injections E. Teach caregivers to give aspirin on a schedule for 24 hr after immunization
B D
A nurse is caring for a client who has acute pancreatitis. Which of the following serum laboratory values should return to the expected reference range within 72hr of treatment beginning? A. Aldolase B. Lipase C. Amylase D. Lactic dehydrogenase
C
A nurse is caring for a client who has cholelithiasis and will undergo a cholecystectomy. The client states she does not understand how she will be alright without her gallbladder. The nurse should explain to the client that which of the following is the main function of the gallbladder? A. Producing bile B. Adding digestive enzymes to bile C. Storing bile D. Eliminating bile
C
A nurse is caring for a client who has fulminant hepatic failure. Which of the following procedures should the nurse anticipate in this client? A. Endoscopic sclerotherapy B. Liver lobectomy C. Liver transplant D. Transjugular intrahepatic portal-systemic shunt placement
C
A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of the following actions? A. Administering erythromycin ophthalmic ointment B. Conducting a newborn hearing screening C. Giving the hepatitis B vaccine D. Screening for critical congenital heart disease
C
A nurse is planning care for a client who has cholelithiasis. Which of the following interventions should the nurse include in the plan? A. Restrict the client's fluid intake B. Restrict the client's calcium intake C. Decrease the client's fat intake D. Decrease the client's potassium intake
C
A nurse is planning care for a client who has prerenal acute kidney injury following abdominal aortic aneurysm repair. Urinary output is 60mL in the past 2 hr, and BP is 92/58mmHg. The nurse should expect which of the following interventions? A. Prepare the client for a CT with contrast dye B. Plan to administer nitroprusside C. Prepare to administer a fluid challenge D. Plan to position the client in Trendelenburg
C
A nurse is planning discharge teaching for a client who is postoperative following a traditional open cholecystectomy. Which of the following learning needs of the client is the nurse's priority? A. Dietary recommendations B. Incision care C. Coughing and deep-breathing exercises D. Pain management
C
A nurse is preparing to administer recommended immunizations to a 2-month old infant. Which of the following immunizations should the nurse plan to administer? A. HPV and Hep A B. MMR and TDaP C. Hib and IPV D. VAR and LAIV
C
A nurse is providing teaching to a client who has a diagnosis of hepatitis A. Which of the following statements by the client indicates an understanding of the teaching? A."I am unable to donate blood." B. "I will need to get a booster shot of immune serum globulin every year." C. "I should stop eating raw clams." D. "I can develop this disease by getting a tattoo."
C
A nurse is reviewing the dietary choices of a client who has chronic pancreatitis. Which of the following food items should the nurse suggest removing from the client's menu for the following day? A. White rice B. Broiled cod C. Ice cream D. Canned peaches
C
A nurse is reviewing the medical history of a client who has spasticity due to multiple sclerosis and a new prescription for tizanidine. Which of the following comorbidities increases the client's risk of adverse effects while taking this medication? A. Pneumonia B. BPH C. Hepatitis D. Diabetes mellitus
C
A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following pieces of information should the nurse include about the hepatitis B immunization? A. "The first dose should be administered at 3 months of age." B. "Your baby will receive this immunization subcutaneously, which means under the skin." C. "We will need your consent prior to administering the vaccine." D. "Your baby will receive in a series of 5 doses."
C
a patient is diagnosed with cholecystitis. Which type of diet should the nurse recommend to this patient? A. high-fat diet such as avocados, eggs, fish, and nuts B. low-fiber, low-residue diet such as white rice, white bread, popcorn, and cheese C. low-fat diet such as vegetables, fruits, and whole grains D. high-protein diet such as milk, cheese, eggs, and beans
C
A nurse is assessing a client who has prerenal AKI. Which of the following findings should the nurse expect? SATA A. Reduced BUN B. Elevated cardiac enzymes C. Reduced urine output D. Elevated blood creatinine E. Elevated blood calcium
C D
A nurse is caring for a group of clients who are not protected against varicella. The nurse should prepare to administer the varicella vaccine at this time to which of the following clients? A. 24 year old client in the third trimester of pregnancy B. 12 year old child who has a severe allergy to neomycin C. 2 month old infant who has no health problems D. 32 year old client who has essential hypertension
D
A nurse is changing the dressings for a client who is 3 days postoperative following a cholecystectomy. The nurse observes yellow, thick drainage on the dressing. The nurse should document this finding as which of the following types of drainage? A. Sanguineous exudate B. Serous exudate C. Serosanguineous exudate D. Purulent exudate
D
A nurse is completing a history and physical assessment for a client who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the client's condition? A. High-calorie diet B. Prior GI illnesses C. Tobacco use D. alcohol use
D
A nurse is completing an admission assessment of a client who has pancreatitis. Which of the following findings should the nurse expect? A. Pain in the right upper quadrant radiating to right shoulder B. Report of pain being worse when sitting upright C. Pain relieved with defecation D. Epigastric pain radiating to the left shoulder
D
A nurse is performing a GI assessment of a client who has liver cirrhosis with abdominal distention. Which of the following actions should the nurse take to assess for changes in the client's abdominal distention? A. Percuss the abdomen for tympanic sounds B. Inspect the contour of the abdominal wall C. Instruct the client to report increased abdominal discomfort D. Take serial measurements of the abdomen with a tape measure
D
A nurse is performing a preoperative assessment of a client about to undergo a cholecystectomy. The nurse should identify a risk for a latex allergy when the client reports an allergy to which of the following foods? A. Cabbage B. Oatmeal C. Milk D. Bananas
D
A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? A. Increases blood pressure B. Prevents esophageal bleeding C. Decreases heart rate D. Reduces ammonia levels
D
A nurse is reviewing a new prescription for chenodiol with a client who has cholelithiasis. Which of the following information should the nurse include in the teaching? A. This medication is used to decrease acute biliary pain B. This medication requires thyroid function monitoring every 6 months C. This medication is not recommended for clients who have diabetes mellitus D. This medication dissolves gallstones gradually over a period of us to 2 years
D
A nurse is reviewing the admission laboratory results of a client who has acute pancreatitis. Which of the following findings should the nurse expect? A. Decreased blood lipase level B. Decreased blood amylase level C. Increased blood calcium level D. Increased blood glucose level
D
A nurse is seeing a patient who is recovering from an acute hepatitis A infection. The nurse notes long red scratch marks on the patient's arms. Which is the nurse's next step? A. Encourage the patient to remain on bedrest to promote healing B. Administer hydrocortisone cream to relieve itching C. Reassure the patient that it is normal to feel itchy during recovery D. Assess the patient for pruritis and skin integrity
D
A nurse is teaching a client who cirrhosis of the liver and a history of alcohol consumption. The nurse should explain that alcohol can cause liver cirrhosis through which of the following actions? A. Increasing the workload of the liver by releasing stored glycogen B. Causing ulceration of liver tissue that can lead to bleeding C. Dilating veins in the portal circulation D. Destroying liver cells that are later replaced with scar tissue
D
A nurse is teaching a client who has chronic kidney disease and is about to begin hemodialysis. Which of the following information should the nurse include in the teaching? A. Hemodialysis restore kidney function B. Hemodialysis replaces hormonal function of the renal system C. Hemodialysis allows an unrestricted diet D. Hemodialysis returns a balance to blood electrolytes
D
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites. Which of the following actions should the nurse include in the plan of care? A. Initiate contact precautions B. Weight the client weekly C. Measure abdominal girl at the base of the ribcage D. Provide a high-calorie, high-carbohydrate diet
D
a nurse is monitoring a client who is receiving lactulose for cirrhosis. Which of the following laboratory values related to this medication should indicate to the nurse that the treatment is effective? A. Increased AST B. Decreased ALT C. Increased PT D. Decreased serum ammonia
D
a nurse is teaching a group of new guardians about immunizations. The nurse should instruct the guardians that the series for which of the following vaccines is completed prior to the first birthday? a. Pneumococcal conjugate vaccine B. Meningococcal conjugate vaccine C. Varicella vaccine D. Rotavirus vaccine
D
A client with chronic kidney disease asks the nurse about the relationship between the disease and high blood pressure. What is the nurse's best response? a."Because the kidneys cannot get rid of fluid, blood pressure goes up." b."The damaged kidneys no longer release a hormone that prevents high blood pressure." c."The waste products in the blood interfere with other mechanisms that control blood pressure." d."This is a compensatory mechanism that increases blood flow through the kidneys in an effort to get rid of some of the waste products."
a."Because the kidneys cannot get rid of fluid, blood pressure goes up."
A client with a recently created vascular access for hemodialysis is being discharged. In planning discharge instructions, which information does the nurse include? a.Avoiding venipuncture and blood pressure measurements in the affected arm b.Modifications to allow for complete rest of the affected arm c.How to assess for a bruit in the affected arm d.How to practice proper nutrition
a.Avoiding venipuncture and blood pressure measurements in the affected arm
The RN has just received change-of-shift report. Which of the assigned clients would be assessed first? a.Client with chronic kidney failure who was just admitted with shortness of breath b.Client with kidney insufficiency who is scheduled to have an arteriovenous fistula inserted c. Client with azotemia whose blood urea nitrogen and creatinine are increasing d.Client receiving peritoneal dialysis who needs help changing the dialysate bag
a.Client with chronic kidney failure who was just admitted with shortness of breath
The rapid response team (RRT) is called to the bedside of a client with heart rate of 38 beats per minute and a potassium level of 7.0 mEq/L (7.0 mmol/L). For which medication will the nurse anticipate a prescription?a.Insulin b.Atropine c.Sodium polystyrene sulfonate (Kayexalate) d.Potassium phosphate
a.Insulin
While managing care for a client with chronic kidney disease, which actions does the registered nurse (RN) plan to delegate to unlicensed assistive personnel (UAP)? Select all that apply. a.Obtain the client's prehemodialysis weight. b.Check the arteriovenous (AV) fistula for a thrill and bruit. c.Document the amount the client drinks throughout the shift. d.Auscultate the client's lung sounds every 4 hours. e.Explain the components of a low-sodium diet.
a.Obtain the client's prehemodialysis weight. c.Document the amount the client drinks throughout the shift.
A client is receiving immune-suppressive therapy after kidney transplantation. Which measure for infection control is most important for the nurse to implement? a.Adherence to therapy b.Handwashing c.Monitoring for low-grade fever d.Strict clean technique
b.Handwashing
Discharge teaching has been provided for a client recovering from kidney transplantation. Which information indicates that the client understands the instructions? a."I can stop my medications when my kidney function returns to normal." b."If my urine output is decreased, I should increase my fluids." c."The antirejection medications will be taken for life." d."I will drink 8 ounces (236 ml) of water with my medications."
c."The antirejection medications will be taken for life."
After receiving change-of-shift report, which client does the RN assess first?a.A client with nausea and vomiting who complains of abdominal cramps b.A client with a nasogastric (NG) tube who has dry oral mucosa and is complaining of thirst c.A client receiving intravenous (IV) diuretics whose blood pressure is 88/52 mm Hg d.A client with normal saline infusing at 150 mL/hr whose hourly urine output has been averaging 75 mL
c.A client receiving intravenous (IV) diuretics whose blood pressure is 88/52 mm Hg
The nurse is assessing a client with a sodium level of 118 mEq/L (118 mmol/L). Which activity takes priority? a.Monitoring urine output b.Encouraging sodium rich fluids and foods throughout the day c.Instructing the client not to ambulate without assistance d.Assessing deep tendon reflexes
c.Instructing the client not to ambulate without assistance
The primary care provider writes prescriptions for a client who is admitted with a serum potassium level of 6.9 mEq/L (6.9 mmol/L). What does the nurse implement first? a.Administer sodium polystyrene sulfonate (Kayexalate) orally. b.Ensure that a potassium-restricted diet is ordered. c.Place the client on a cardiac monitor. d.Teach the client about foods that are high in potassium.
c.Place the client on a cardiac monitor.
The nurse should expect which lab result to be below normal for a patient with pancreatitis?
calcium
Esophageal varices are typically associated with which condition?
cirrhosis
During discharge teaching for a client with kidney disease, what does the nurse teach the client to do? a."Eat breakfast and go to bed at the same time every day." b."Drink 2 liters of fluid and urinate at the same time every day." c."Check your blood sugar and do a urine dipstick test." d."Weigh yourself and take your blood pressure."
d."Weigh yourself and take your blood pressure."
A client with mild hypokalemia caused by diuretic use is discharged home. The home health nurse delegates which of these interventions to the home health aide? a.Assessment of muscle tone and strength b.Education about potassium-rich foods c.Instruction on the proper use of drugs d.Measurement of the client's weight
d.Measurement of the client's weight
A client with hypermagnesemia is seen in the emergency department (ED). Which of these interventions is most appropriate? a.Monitor for hyperactive reflexes b.Prepare for endotracheal intubation. c.Institute teaching on avoiding magnesium rich foods d.Place the client on a cardiac monitor
d.Place the client on a cardiac monitor
When caring for a client who receives peritoneal dialysis (PD), which finding does the nurse report to the provider (HCP) immediately? a.Pulse oximetry reading of 95% b.Sinus bradycardia, rate of 58 beats/min c.Blood pressure of 148/90 mm Hg d.Temperature of 101.2°F (38.4°C)
d.Temperature of 101.2°F (38.4°C)
A nurse is assessing a client with acute cholecystitis. What assessment finding is the priority?
tachycardia
