practice questions
When a client with chronic dyspnea is scheduled for CT using contrast which assessment information would the nurse communicate to the HCP before the procedure?
- metformin taken daily -serum creative 2.1 mg -shellfish allergy
When determining the main difference between type 1 and type 2 diabetes, the nurse recognizes which clinical presentation about type 1?
-Complications are not present at the time of diagnosis.
Which clinical indicators would the nurse expect to identify in a client with acute respiratory distress syndrome (ARDS)?
-crackles -atelectasis -hypoxemia -severe dyspnea
A client with AKI is moved into the diuretic phase after 1 week of therapy. During this phase, which clinical indicators would the nurse assess?
-dehydration -hypovolemia
The nurse would monitor postoperative clients for which clinical manifestations of a pulmonary embolus?
-dyspnea -hemoptysis -feeling of impending doom
A client develops ARDS. The nurse assesses the client and notes signs of pulmonary edema and atelectasis. The findings correspond to which phase of ARDS?
-exudative
An ABG report indicated that pH is 7.25, PCO2 is 60 mm Hg, and HCO3 is 26 mEq. Which client is most likely to exhibit these blood gas results?
A client with pulmonary fibrosis
For a client receiving TPN, which action will the nurse take to prevent a major complication?
Administer the infusion over 12-24 hours
A client is admitted to an ICU with a diagnosis of ARDS. Which Clincial finding would the nurse expect when assessing this client?
Altered mental status AMS is secondary to cerebral hypoxia, which accompanies ARDS; cognition and LOC are reduced
Which clinical findings support the diagnosis of DKA?
Deep respirations and fruity odor to breath
A 78 year old client who has HTN is beginning tx with furosemide. Considering the clients age, which would the nurse teach the client to do?
Change positions slowly
When performing a focused respiratory assessment, which action would the nurse take first?
Check for any evidence of respiratory distress
Which finding would the nurse be most important to the HCP before a client undergoes a spiral CT scan for possible pulmonary embolism?
Client has poor skin turgor and dry oral mucosa
Which ABG value would indicate DKA?
Decreased HCO3
What are symptoms of hyperglycemia?
Dry skin, increased thirst, deep rapid breathing
Which symptoms would be seen in a client with type 1 diabetes who is experiencing hypoglycemia?
Headache, tachycardia, cool clammy skin
After a thoracentesis for pleural effusion, a client returns to an outpatient clinic for a follow-up visit. The nurse suspects a recurrence of pleural effusion when the client makes which statement?
I get a sharp, stabbing pain when I take a deep breath
Which unique response is associated with DKA that is not exhibited with HHNS?
Kussmaul respirations
Which health problem might precipitate acute hypoglycemia in a client?
Liver disease
The nurse is notified that the latest potassium level for a client who has AKI is 6.2. Which action would the nurse take?
Notify the PCP
After reviewing a clients CBC, which finding is most important for the nurse to communicate to the HCP?
Platelet count 75,000
A client is extubated in the post anesthesia care unit after surgery. For which common response would the nurse be alert when monitoring the client for acute respiratory distress?
Restlessness
Immediately after a thoracentesis, a clients right lung collapses. A chest tube is inserted and is attached to a three chamber closed drainage system. The nurse assesses the fluid in the system and recognizes that which finding indicates that the chest tube is functioning properly?
The fluid rises in the tube of the water-seal chamber during inspiration
Which information would the nurse include in response to a clients questioning a protein-restricted dietary change required for his/her AKI?
This diet supplies only essential amino acids, reducing the amount of metabolic wastes products,thus decreasing stress on the kidneys
Which result would be expected when assessing the laboratory values of a client with type 2 diabetes?
Urine negative for ketones, and positive glucose in the blood
Which findings supports the nurse conclusions that the client is at risk for kidney damage and the HCP needs to increase the IV fluid rate?
Urine output is 25 ml per hour
The nurse, caring for a client with uncontrolled diabetes, suspects that a client is experiencing hypoglycemia in response to insulin administration. Which clinical manifestations lead the nurse to this conclusion?
-headache -confusion - profuse sweating
Which early signs of respiratory acidosis would the nurse expect the client with a restrictive airway disease to exhibit?
-headache -irritability -restlessness
Which actions would the nurse take to obtain subjective data about the clients respiratory status?
-question the client about SOB -ask the client about color and quantity of sputum
When monitoring a client for hyponatremia, which assessment a=findings would the nurse consider significant?
-seizures -confusion
A client sustains a crushing injury to the Lower left leg, and a below the knee amputation is performed. For which common clinical manifestations of a pulmonary embolus would the nurse assess this client?
-sharp chest pain -acute onset of dyspnea
Which action would the nurse anticipate implementing when caring for a client with acute respiratory distress syndrome who is intubated and on mechanical ventilation?
Determine need for suctioning based on clients assessments
