Exam 3 block 1

The home care nurse has taught a client with heart failure and a problem of inadequate cardiac output about helpful lifestyle adaptations to promote health. Which statement by the client bestdemonstrates an understanding of the information provided? 1. "I will try to exercise vigorously to strengthen my heart muscle." 2. "I will eat enough daily fiber to prevent straining during bowel movement." 3. "I will drink 3000 to 3500 mL of fluid daily to promote good kidney function." 4. "Drinking 2 to 3 oz of liquor each night will promote blood flow by enlarging blood vessels."

2. "I will eat enough daily fiber to prevent straining during bowel movement."

The nurse checks the laboratory results of a serum medication level assay for a newly admitted client with a history of heart failure taking digoxin 0.125 mg orally daily. The nurse determines that which value indicates a therapeutic level? 1. 0.1 ng/mL (0.13 nmol/L) 2. 0.6 ng/mL (0.76 nmol/L) 3. 2.4 ng/mL (2.30 nmol/L) 4. 2.8 ng/mL (3.07 nmol/L)

2. 0.6 ng/mL (0.76 nmol/L)

A school nurse is teaching an athletic coach how to prevent dehydration in athletes during football practice. Which action by the coach during football practice would indicate that further teaching is needed? 1. Weighs athletes before, during, and after football practice 2. Asks the athletes to take a salt tablet before football practice 3. Schedules fluid breaks every 30 minutes throughout practice 4. Tells the athletes to drink 16 oz of fluid per pound lost during practice

2. Asks the athletes to take a salt tablet before football practice

A hydrocolloid dressing is prescribed for a client with a leg ulcer. The home health nurse is preparing a plan of care for the client and would appropriately document which intervention? 1. Change the hydrocolloid dressing daily. 2. Change the hydrocolloid dressing every 3 to 5 days. 3. Apply the hydrocolloid dressing over a dry, sterile dressing. 4. Apply the hydrocolloid dressing over a normal saline-soaked dressing.

2. Change the hydrocolloid dressing every 3 to 5 days.

Which clients are most likely to be at risk for the development of third spacing? Select all that apply. 1. The client with cirrhosis 2. The client with liver failure 3. The client with diabetes mellitus 4. The client with a minor burn injury 5. The client with chronic kidney disease

1, 2, 5

The nurse is assessing a client newly diagnosed with mild hypertension. Which assessment finding would the nurse expect? 1. Asymptomatic 2. Shortness of breath 3. Visual disturbances 4. Frequent nosebleeds

1. Asymptomatic

The nurse is reviewing the laboratory test results for a client and notes that the serum sodium level is 150 mEq/L (150 mmol/L). The nurse understands that this value would be noted in which condition? 1. Heart failure 2. Addison's disease 3. A severe burn injury 4. Adrenal insufficiency

1. Heart failure

The nurse is reviewing a client's laboratory report and notes that the total serum calcium level is 6.0 mg/dL (1.66 mmol/L). The nurse understands that which condition most likely caused this serum calcium level? 1. Prolonged bed rest 2. Renal insufficiency 3. Hyperparathyroidism 4. Excessive ingestion of vitamin D

1. Prolonged bed rest

The nurse is caring for a client with heart failure (HF). Which signs and symptoms could indicate fluid overload? Select all that apply. 1. Bounding pulse 2. Difficulty breathing 3. Increased urine output 4. Presence of dependent edema 5. Neck vein distention in the upright position

1., 2., 4., 5.

The nurse is caring for a client with a diagnosis of dehydration, and the client is receiving intravenous (IV) fluids. Which assessment finding would indicate to the nurse that the dehydration remains unresolved? 1. An oral temperature of 98.8° F (37.1° C) 2. A urine specific gravity of 1.043 3. A urine output that is pale yellow 4. A blood pressure of 120/80 mm Hg

2. A urine specific gravity of 1.043

The nurse has developed a teaching plan for a client with hypertension regarding the administration of prescribed medications. What is the initial nursing action? 1. Set priorities for the client. 2. Assess the client's readiness to learn. 3. Find out whether anyone lives with the client. 4. Use only one teaching method to prevent confusion.

2. Assess the client's readiness to learn.

During an assessment of skin turgor in an older client, the nurse discovers that skin tenting occurs when the skin is pinched on the client's forearm. What would the nurse do next? 1. Document this assessment finding. 2. Call another nurse to verify this finding. 3. Check skin turgor over the client's sternum. 4. Call the primary health care provider (PHCP) to obtain a prescription for fluid replacement.

3. Check skin turgor over the client's sternum.

A client with a history of heart failure who is receiving digoxin daily has a serum potassium level of 3 mEq/L (3 mmol/L) and is complaining of anorexia. The primary health care provider orders a serum digoxin level to be done. The nurse checks the results and would expect to note which level that is outside the therapeutic range? 1. 0.5 ng/mL 2. 0.8 ng/mL 3. 1.6 ng/mL 4. 2.2 ng/mL

4. 2.2 ng/mL

Prior to administering a client's daily dose of digoxin to treat heart failure, the nurse reviews the client's laboratory data and notes the following results: serum calcium, 9.8 mg/dL (2.45 mmol/L); serum magnesium, 1.0 mEq/L (0.4 mmol/L); serum potassium, 4.1 mEq/L (4.1 mmol/L); serum creatinine, 0.9 mg/dL (79.5 mcmol/L). Which result would alert the nurse that the client is at risk for digoxin toxicity? 1. Serum calcium level 2. Serum potassium level 3. Serum creatinine level 4. Serum magnesium level

4. Serum magnesium level

Which client is at risk for the development of a sodium level at 130 mEq/L (130 mmol/L)? 1. The client who is taking diuretics 2. The client with hyperaldosteronism 3. The client with Cushing's syndrome 4. The client who is taking corticosteroids

1. The client who is taking diuretics

Spironolactone is prescribed for a client with heart failure. In providing dietary instructions to the client, the nurse identifies the need to avoid foods that are high in which electrolyte? 1. Calcium 2. Potassium 3. Magnesium 4. Phosphorus

2. Potassium

The nurse is assisting in the care of a client with pheochromocytoma who has been experiencing clinical manifestations of hypermagnesemia. When evaluating the client, the nurse would determine that the client's status is returning to normal if which is no longer exhibited? 1. Tetany 2. Tremors 3. Areflexia 4. Muscular excitability

3. Areflexia (loss of deep tendon reflexes)

A hospitalized client has been diagnosed with heart failure as a complication of hypertension. In explaining the disease process to the client, the nurse identifies which chamber of the heart as primarily responsible for the symptoms? 1. Left atrium 2. Right atrium 3. Left ventricle 4. Right ventricle

3. Left ventricle

When performing a surgical dressing change of a client's abdominal dressing, the nurse notes an increase in the amount of drainage and separation of the incision line. The underlying tissue is visible to the nurse. What would the nurse do next? 1. Irrigate the wound, and apply a dry sterile dressing. 2. Leave the incision exposed to the air to dry the area. 3. Apply a sterile dressing soaked with povidone-iodine. 4. Apply a sterile dressing soaked with normal saline.

4. Apply a sterile dressing soaked with normal saline.

The evening nurse reviews the nursing documentation in a client's chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which finding would the nurse expect to note on assessment of the client's sacral area? 1. Intact skin 2. Full-thickness skin loss 3. Exposed bone, tendon, or muscle 4. Partial-thickness skin loss of the dermis

4. Partial-thickness skin loss of the dermis

A client has a wound with a moderate amount of drainage and is scheduled for a dressing change. Which dressing, if selected by the student nurse, requires further intervention by the nursing instructor? 1. Foam 2. Alginate dressing 3. Hydrocolloid dressing 4. Semipermeable transparent film

4. Semipermeable transparent film

Which client is at risk for the development of a potassium level of 5.5 mEq/L (5.5 mmol/L)? 1. The client with colitis 2. The client with Cushing's syndrome 3. The client who has been overusing laxatives 4. The client who has sustained a traumatic burn

4. The client who has sustained a traumatic burn

The nurse is conducting a health history of a client with a primary diagnosis of heart failure. Which conditions reported by the client could play a role in exacerbating the heart failure? Select all that apply. 1. Emotional stress 2. Atrial fibrillation 3. Nutritional anemia 4. Peptic ulcer disease 5. Recent upper respiratory infection

1, 2, 3, 5

The nurse is updating the client's plan of care based on the new onset of hypokalemia. Which priorities of care would the nurse include? Select all that apply. 1. Ensure adequate oxygenation. 2. Provide assistance to prevent falls. 3. Monitor medication administration of diuretics. 4. Monitor for numbness and tingling around the mouth. 5. Prevent complications during potassium administration.

1, 2, 3, 5

The nurse is creating a plan of care for a client with hypokalemia. Which interventions would be included in the plan of care? Select all that apply. 1. Ensure adequate fluid intake. 2. Implement safety measures to prevent falls. 3. Encourage low-fiber foods to prevent diarrhea. 4. Instruct the client about foods that contain potassium. 5. Encourage the client to obtain assistance to ambulate.

1, 2, 4, 5

A client in the later stages of chronic kidney disease (CKD) has hyperkalemia. With CKD, what other factors besides tissue breakdown can cause high potassium levels? Select all that apply. 1. Blood transfusions 2. Diarrhea 3. Bleeding or hemorrhage 4. Decreased sodium excretion 5. Ingestion of potassium in medications 6. Failure to restrict dietary potassium

1, 3, 5, 6

The nurse has been giving a client furosemide intravenously for an exacerbation of heart failure. The nurse monitors which potentially abnormal blood levels that frequently occur when this medication is administered? Select all that apply. 1. Serum sodium 2. Serum protein 3. Serum albumin 4. Serum potassium 5. Serum creatinine

1, 4

A client has had radical neck dissection and begins to hemorrhage at the incision site. The nurse would take which actions in this situation? Select all that apply. 1. Monitor vital signs. 2. Monitor the client's airway. 3. Apply manual pressure over the site. 4.Lower the head of the bed to a flat position. 5. Call the primary health care provider (PHCP) immediately.

1,2,3,5

The nurse is concerned about potential skin integrity problems for an unconscious client. Which interventions would be most appropriate to include in the plan of care for this client? Select all that apply. 1. Reposition every 2 hours. 2. Use a bed cradle as indicated. 3. Apply protective pads to heels and elbows. 4. Add a small amount of alcohol to the daily bath water. 5. Provide perineal care every 8 hours and after incontinence.

1,2,3,5

A client who is at risk for fluid imbalance is to be admitted to the nursing unit. In planning care for this client, the nurse is aware that which conditions cause the release of antidiuretic hormone (ADH)? Select all that apply. 1. Dehydration 2. Hypertension 3. Physiological stress 4. Decreased blood volume 5. Decreased plasma osmolarity

1,3,4

The nurse notes that a client's total serum calcium level is 6.0 mg/dL (1.5 mmol/L). Which assessment findings would be anticipated in this client? Select all that apply. 1. Tetany 2. Constipation 3. Renal calculi 4. Hypotension 5. severe ventricular dysrhythmias 6. Positive Chvostek's sign

1,4,5,6

An ambulatory care nurse measures the blood pressure of a client and finds it to be 156/94 mm Hg. Which statement indicates that the client needs additional education? 1. "It is important that I limit protein intake." 2. "I need to maintain a regular exercise program." 3. "I understand that I need to avoid adding salt to foods." 4. "It is important that I begin reducing and then maintaining weight."

1. "It is important that I limit protein intake."

A client taking an angiotensin-converting enzyme (ACE) inhibitor to treat hypertension calls the clinic nurse and reports a dry, nonproductive cough that is very bothersome. The nurse would respond by making which statement? 1. "The medication may need to be changed." 2. "The cough must be the start of a respiratory infection." 3. "The medication needs to be taken with large amounts of water to prevent the cough." 4. "This sometimes happens, and you will need to take a cough medication with each dose of medication."

1. "The medication may need to be changed."

A client with a history of heart failure is due for a morning dose of furosemide. Which serum potassium level, if noted in the client's laboratory report, would be reported before administering the dose of furosemide? 1. 3.2 mEq/L (3.2 mmol/L) 2. 3.8 mEq/L (3.8 mmol/L) 3. 4.2 mEq/L (4.2 mmol/L) 4. 4.8 mEq/L (4.8 mmol/L)

1. 3.2 mEq/L (3.2 mmol/L)

A client with heart failure has been experiencing difficulty with completion of daily activities, as evidenced by exertional fatigue and increased blood pressure. Which observation by the nurse best indicates client progress in meeting goals for this problem? 1. Ambulates 10 feet (3 meters) farther each day 2. Verbalizes the benefits of increasing activity 3. Chooses a healthy diet that meets caloric needs 4. Sleeps without awakening throughout the night

1. Ambulates 10 feet (3 meters) farther each day

The nurse is caring for a client with a diagnosis of severe dehydration. The client has been receiving intravenous (IV) fluids and nasogastric (NG) tube feedings. The nurse monitors fluid balance using which as the best indicator? 1. Daily weight 2. Urinary output 3. IV fluid intake 4. NG tube intake

1. Daily weight

During an assessment of a newly admitted client, the nurse notes that the client's heart rate is 110 beats/min, his blood pressure shows orthostatic changes when he stands up, and his tongue has a sticky, pastelike coating. The client's spouse tells the nurse that he seems a little confused and unsteady on his feet. Based on these assessment findings, the nurse suspects that the client has which condition? 1. Dehydration 2. Hypokalemia 3. Fluid overload 4. Hypernatremia

1. Dehydration

The nurse is assessing a client with a suspected diagnosis of hypocalcemia. Which cardiovascular manifestation would the nurse expect to note? 1. Hypotension 2. Increased heart rate 3. Bounding peripheral pulses 4.

1. Hypotension

The nurse is performing an assessment on a client with a diagnosis of left-sided heart failure. Which assessment component would elicit specific information regarding the client's left-sided heart function? 1. Listening to lung sounds 2. Palpating for organomegaly 3. Assessing for jugular vein distention 4. Assessing for peripheral and sacral edema

1. Listening to lung sounds

The nurse reviews a client's laboratory report and notes that the client's serum phosphorus (phosphate) level is 1.8 mg/dL (0.45 mmol/L). Which condition most likely caused this serum phosphorus level? 1. Malnutrition 2. Renal insufficiency 3. Hypoparathyroidism 4. Tumor lysis syndrome

1. Malnutrition

The nurse caring for a client with heart failure is notified by the hospital laboratory that the client's serum magnesium level is 1.0 mEq/L (0.5 mmol/L). Which would be the most appropriatenursing action for this client? 1. Monitor the client for dysrhythmias. 2. Encourage increased intake of phosphate antacids. 3. Discontinue any magnesium-containing medications. 4. Encourage intake of foods such as ground beef, eggs, or chicken breast.

1. Monitor the client for dysrhythmias.

The nurse is assessing a client with a lactose intolerance disorder for a suspected diagnosis of hypocalcemia. Which clinical manifestation would the nurse expect to note in the client? 1. Twitching 2. Hypoactive bowel sounds 3. Negative Trousseau's sign 4. Hypoactive deep tendon reflexes

1. Twitching

The nurse caring for a client with heart failure who has been receiving intravenous (IV) diuretics suspects that the client is experiencing a fluid volume deficit. Which assessment finding would the nurse note in a client with this condition? 1. Weight loss and poor skin turgor 2. Lung congestion and increased heart rate 3. Decreased hematocrit and increased urine output 4. Increased respirations and increased blood pressure

1. Weight loss and poor skin turgor

The nurse is monitoring a client with heart failure who is taking digoxin. Which findings are characteristic of digoxin toxicity? Select all that apply. 1. Tremors 2. Diarrhea 3. Irritability 4. Blurred vision 5. Nausea and vomiting

2,4,5

The nurse is assisting in the care of a group of clients on the nursing unit. When considering the effects of each medical diagnosis, the nurse determines that which client has the least risk for developing third spacing of fluid? 1. Client with a major burn 2. Client with an ischemic stroke 3. Malnutrition 4. Client with chronic kidney disease

2. Client with an ischemic stroke

A client is receiving an intravenous infusion of 1000 mL of normal saline with 40 mEq of potassium chloride. The care unit nurse is monitoring the client for signs of hyperkalemia. Which finding initially will be noted in the client if hyperkalemia is present? 1. Confusion 2. Muscle weakness 3. Mental status changes 4. Depressed deep tendon reflexes

2. Muscle weakness

The nurse is preparing to care for a client with a potassium deficit. The nurse reviews the client's record and determines that the client is at risk for developing the potassium deficit because of which situation? 1. Sustained tissue damage 2. Requires nasogastric suction 3. Has a history of Addison's disease 4. Uric acid level of 9.4 mg/dL (559 mmol/L)

2. Requires nasogastric suction

A client with heart failure is scheduled to be discharged to home with digoxin and furosemide as daily prescribed medications. The nurse tells the client to report which finding as an indication that the medications are not having the intended effect? 1. Sudden increase in appetite 2. Weight gain of 2 to 3 lb in a few days 3. Increased urine output during the day 4. Cough accompanied by other signs of respiratory infection

2. Weight gain of 2 to 3 lb in a few days

The nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site? 1. Hard reddened skin 2. serous drainage 3. Purulent drainage 4. Warm, tender skin

2. serous drainage

A client is being treated for moderate hypertension and has been taking diltiazem for several months. The client schedules an appointment with the primary health care provider because of episodes of chest pain, and Prinzmetal's angina is diagnosed. The client asks the nurse which therapeutic effects the medication will provide, and the nurse provides education. Which statement by the client indicates that the teaching has been effective? 1. "It increases the force of contraction of heart tissues." 2. "It increases oxygen demands within the myocardium." 3. "It prevents an influx of calcium ions in the smooth muscle." 4. "It leads to an increase in calcium absorption in the smooth muscle."

3. "It prevents an influx of calcium ions in the smooth muscle."

The nurse is obtaining the intershift report for a group of assigned clients. Which assigned client would the nurse monitor closely for signs of hyperkalemia? 1. A client with ulcerative colitis 2. A client with Cushing's syndrome 3. A client admitted 6 hours ago with a 40% burn injury 4. A client who has a history of long-term laxative abuse

3. A client admitted 6 hours ago with a 40% burn injury

The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic, and crackles are audible on auscultation. What additional manifestations would the nurse expect to note in this client if excess fluid volume is present? 1. Weight loss and dry skin 2. Flat neck and hand veins and decreased urinary output 3. An increase in blood pressure and increased respirations 4. Weakness and decreased central venous pressure (CVP)

3. An increase in blood pressure and increased respirations

A client has been admitted with left-sided heart failure. When planning care for the client, interventions need to be focused on reduction of which specific problem associated with this type of heart failure? 1. Ascites 2. Pedal edema 3. Bilateral lung crackles 4. Jugular vein distention

3. Bilateral lung crackles

The nurse has given a client the prescribed dose of intravenous hydralazine. The nurse evaluates the effectiveness of the medication by monitoring which client parameter? 1. Pulse rate 2. Urine output 3. Blood pressure 4. Potassium level

3. Blood pressure

The nurse is assessing the perineal wound in a client who has returned from the operating room following an abdominal perineal resection and notes serosanguineous drainage from the wound. Which nursing intervention is most appropriate? 1. Notify the surgeon. 2. Clamp the surgical drain. 3. Change the dressing as prescribed. 4. Remove and replace the perineal packing.

3. Change the dressing as prescribed.

The nurse is performing an assessment on a client admitted to the hospital with a diagnosis of dehydration. Which assessment finding would the nurse expect to note? 1. Bradycardia 2. Elevated blood pressure 3. Changes in mental status 4. Bilateral crackles in the lungs

3. Changes in mental status

The nurse is caring for a group of clients on the clinical nursing unit. Which client would the nurse plan to monitor for signs of fluid volume deficit? 1.Client in heart failure 2. Client in acute kidney injury 3. Client with an ileostomy 4. Client with controlled hypertension

3. Client with an ileostomy

An antihypertensive medication has been prescribed for a client with hypertension. The client tells the clinic nurse about wanting to take an herbal substance to help lower the blood pressure. The nurse would take which action? 1. Advise the client to read the labels of herbal therapies closely. 2. Tell the client that herbal substances are not safe and would never be used. 3. Encourage the client to discuss the use of an herbal substance with the primary health care provider (PHCP). 4. Tell the client that if the herbal substance is taken, blood pressure checks will need to be done frequently.

3. Encourage the client to discuss the use of an herbal substance with the primary health care provider (PHCP).

The nurse is caring for a client with heart failure who is receiving high doses of a diuretic. On assessment, the nurse notes that the client has flat neck veins, generalized muscle weakness, and diminished deep tendon reflexes. The nurse suspects hyponatremia. What additional sign would the nurse expect to note in a client with hyponatremia? 1. Muscle twitches 2. Decreased urinary output 3. Hyperactive bowel sounds 4. Increased specific gravity of the urine

3. Hyperactive bowel sounds

The nurse is planning to administer hydrochlorothiazide to a client diagnosed with hypertension. The nurse would monitor for which adverse effects related to the administration of this medication? 1. Hypouricemia, hyperkalemia 2. Increased risk of osteoporosis 3. Hypokalemia, hyperglycemia, sulfa allergy 4. Hyperkalemia, hypoglycemia, penicillin allergy

3. Hypokalemia, hyperglycemia, sulfa allergy

The nurse is reading a primary health care provider's (PHCP's) progress notes in the client's record and reads that the PHCP has documented "insensible fluid loss of approximately 800 mL daily." The nurse plans to make a notation that insensible fluid loss occurs through which type of excretion 1. Urinary output 2. Wound drainage 3. Integumentary output 4. The gastrointestinal tract

3. Integumentary output

The nurse has been given a medication prescription to administer intravenous (IV) hydralazine. The nurse obtains which priority piece of equipment needed for use during administration of this medication? 1. Pulse oximetry 2. Cardiac monitor 3. Noninvasive blood pressure cuff 4. Nonrebreather oxygen face mask

3. Noninvasive blood pressure cuff

Lisinopril has been prescribed for a client with hypertension. What would the nurse instruct the client about this medication? 1. Take the medication with food only. 2. Discontinue the medication if nausea occurs. 3. Rise slowly from a reclining to a sitting position. 4. Expect to note a full therapeutic effect immediately.

3. Rise slowly from a reclining to a sitting position.

The nurse is caring for a client who has just returned from the postanesthesia care unit after radical neck dissection. The nurse would assess for which characteristic of wound drainage expected in the immediate postoperative period? 1. Serous 2. Grossly bloody 3. Serosanguineous 4. Serous with sputum

3. Serosanguineous

A 56-year-old adult client with heart failure is receiving digoxin. The nurse is auscultating the apical heart rate before giving digoxin and notes that the heart rate is 48 beats/minute. Which action would the nurse take? 1. Withhold the digoxin, and reevaluate the heart rate in 4 hours. 2. Administer half of the prescribed dose to avoid a further decrease in heart rate. 3. Withhold the digoxin, and assess for signs of decreased cardiac output and digoxin toxicity. 4. Administer the digoxin; the heart rate would be considered normal because of the client's age.

3. Withhold the digoxin, and assess for signs of decreased cardiac output and digoxin toxicity.

A client with heart failure who has a serum potassium (K+) level of 2.9 mEq/L (2.9 mmol/L) tells the nurse that he does not feel like eating lunch. The nurse checks his serum digoxin level from that morning and notes that it is 1.0 ng/mL (1.2 nmol/L). What would the nurse determine about this digoxin level? 1. Low 2. Extremely toxic 3. Within the therapeutic range 4. Just above the high end of the therapeutic range

3. Within the therapeutic range

Hydrochlorothiazide has been prescribed for a client with hypertension. The nurse contacts the primary health care provider (PHCP) to verify the prescription if which condition is noted in the assessment data? 1. Hypertension 2. Allergy to eggs 3. Nephrotic syndrome 4. Allergy to sulfonamides

4. Allergy to sulfonamides

A client recovering from an exacerbation of left-sided heart failure is experiencing activity intolerance. Which change in vital signs during activity would be the best indicator that the client is tolerating mild exercise? 1. Oxygen saturation decreased from 96% to 91%. 2. Pulse rate increased from 80 to 104 beats per minute. 3. Blood pressure decreased from 140/86 to 112/72 mm Hg. 4. Respiratory rate increased from 16 to 19 breaths per minute.

4. Respiratory rate increased from 16 to 19 breaths per minute.

The nurse is monitoring the fluid balance of a client with a burn injury. The nurse determines that the client is less than adequately hydrated if which information is noted during assessment? 1. Urine pH of 6 2. Urine that is pale yellow 3. Urine output of 40 mL/hr 4. Urine specific gravity of 1.032

4. Urine specific gravity of 1.032

The nurse is caring for a client whose magnesium level is 3.5 mEq/L (1.75 mmol/L). Which assessment finding would the nurse most likely expect to note in the client based on this magnesium level? 1. Tetany 2. Twitches 3. Positive Trousseau's sign 4.Loss of deep tendon reflexes

4.Loss of deep tendon reflexes

The nurse is caring for a client with a nasogastric tube. Nasogastric tube irrigations are prescribed to be performed once every shift. The client's serum electrolyte result indicates a potassium level of 4.5 mEq/L (4.5 mmol/L) and a sodium level of 132 mEq/L (132 mmol/L). Based on these laboratory findings, the nurse would select which solution to use for the nasogastric tube irrigation? 1. Tap water 2. Sterile water 3. Distilled water 4.Sodium chloride

4.Sodium chloride