F&E, ABG

A nurse is reviewing the ABG results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which should the nurse expect

Widened QRS complexes

A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by doing what

withholding a dose of narcotic pain medication when the client is in respiratory depression

A nurse is reviewing the medical records of four clients who have abg imbalances. Which of the following clients is at risk for metabolic acidosis

A client who has diarhea

A nurse is teaching a client who has acute kidney injury about dietary sources of potassium. Which of the following statements by the client indicates a need for clarification?

Adding pecans will be a change I can readily make

A nurse in the emergency department is caring for a client who has pulmonary edema, reports dyspnea, and appears anxious. The client's blood pressure is 108/79 and his apical pulse is 112. Which is the nurse's priority

Administer high flow oxygen at 5 by facemask to client

A nurse is reviewing a clients laboratory values and discovers the client has a serum potassium of 6.2. Which of the following interventions should the nurse anticipate?

Administering sodium polystyrene sulfonate

A nurse is caring for a client who has metabolic alkalosis. What should the nurse monitor

Bicarbonate excess & circumoral parethesia

A nurse enters a clients room and finds the client pulseless. The family has requested a DNR but he has not written the order yet. What should the nurse do?

Call the emergency response team

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3. The nurse should monitor the client for which of the following implications?

Cardiac dysrhythmias

A nurse is creating the plan of care for a client who is at 39 weeks of gestation and in active labor. Which action should the nurse include?

Check the cervix prior to analgesic administration

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

Eat foods that contain plenty of potassium.

A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which is considered outside the nurses responsibilites?

Explaining the procedure, risks, and benefits

A nurse on a medical surgical unit is performing an admission assessment of a client who has COPD with empysema. The client is short of breath and has a cough. What are the correct findings?

Increased anteroposterior diameter of the chest

A nurse in the emergency department is caring for a client who has a compression fracture of a spinal vertebra. during transport to the facility, the client was medicated with iv morphine. on arrival the neurosurgeon determined urgent surgical intervention is indicated for the fracture. staff members have been unable to reach the clients family. Which actions should the nurse anticipate the surgeon taking

Invoking implied consent

A home health care nurse is visiting an older adult client who tells the nurse that she is feeling tired, is unable to shop for groceries, and would like the nurse to shop for her. Shopping and performing personal errands for the client is prohibited in the nurses job description. which is the appropriate response?

Lets look at some other resources to solve this problem

LETHARGY, CONFUSION, DIAREHA

METABOLIC ACIDOSIS

MUSCLE CRAMPS, VOMITING, TINGLING LIMBS

METABOLIC ALKALOSIS

A nurse is admitting a client who has influenza and reporting numbness of tingling toes/fingers. Which ABG

Metabolic alkalosis

A nurse is admitting a client who reports flu like symptoms with hyperactive reflexes and a new onset of confusion. Which condition is the client experiencing

Metabolic alkalosis

A nurse is caring for a client who has hypertension and has a potassium level of 6.8. Which of the following actions should the nurse take?

Obtain a 12-lead ECG

A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. Which statement should the preceptor make?

Personal liability coverage is not mandatory but you should consider purchasing your own coverage

A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?

Potassium 2.3

A nurse is preparing the bathe a client. Which action should the nurse take?

Pull the curtain around the clients bed

A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which is measure by a process audit?

Quality of nursing care provided

A nurse overhears two AP from the medical surgical unit discussing a hospitalized client while in the cafeteria. Which is the priority action?

Quietly tell the APs that this is not appropriate

COPD, ACUTE ASTHMA, BACTERIAL PNEUMONIA

RESPIRATORY ACIDOSIS

ANXIETY, INCREASED RESPIRATIONS, PARESTHESIA

RESPIRATORY ALKALOSIS

A nurse is caring for a client who has a serum potassium level of 5.5. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following?

Reduction of T-wave amplitude.

A nurse is caring for a client who is postoperative and whose respirations are shallow. Which of the following acid base imbalances should the nurse identify the client at being risk for

Respiratory acidosis

A nurse is documenting information in a computerized health record. What jeopardizes confidentiality?

Sharing computer passwords with coworkers

An AP comes to work with a new set of fake nails. The nurse takes the AP to a private location to discuss the issue. Which statement is appropriate?

There is a higher risk of infection for our clients associated with fake nails

A nurse administers an incorrect med to a client. Following assessment, the nurse discovers that the client has experienced no untoward effects as a result of the meds. The nurse does not complete an incident report bc there was no harm. What did the nurse violate

Veracity

A nurse is caring for a client who has an eating disorder. the nurse is practicing which of the following ethical concepts when the client refuses to drink between meal protein and calories supplement

autonomy

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. which statements should the manager include

clients who are involuntarily admitted have the right to informed consent

A nurse is caring for a client who is unresponsive following a car crash. the clients son states that he does not want any heroic measures performed. which response is appropriate

does your father have advanced health care directives

A nurse is caring for a client who is confused and uncooperative. The client hit the nurse when she attempted to give him meds. The nurse asks the charge nurse if she can restrain the client. The charge nurse should tell the nurse this is a violation and an example of what

false imprisonment

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the distress is

hyperinsulinemia

A nurse manager is reviewing the good samaritan laws with a group of newly licensed nurses. which statement is appropriate?

if you render aid in an accident, do not leave the scene until another competent person can take over

A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. the client states, " i have decided not to have the procedure". which action should the nurse take

inform the provider that the client is withdrawing consent

A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing what

keeping an appointment with a client

A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. Which clinical manifestations should be monitored

metabolic alkalosis

A nurse is caring for a caring who has a history of dementia. the client is alert and oriented to person, place, and time. the client is scheduled for a procedure that requires consent. who should sign the consent form

the client

a nurse manager is planning to discipline a nurse after discovering that the nurse was discourteous to a client. which disciplinary steps should the nurse first take

verbal admonishment