SOLUTIONS
A client reports extremely frequent urination, sometimes
urinating 10 to 12 times each day. What fluid balance disorder
would be expected with these symptoms?
a. dehydration
b. diluted urine
c. hyponatremia
d. hypokalemia Correct Answers A
A nurse educator is reviewing the indications for chest drainage
systems with a group of medical nurses. What indications should
the nurses identify? Select all that apply.
a. Post thoracotomy
b. Spontaneous pneumothorax
c. Need for postural drainage
d. Chest trauma resulting in pneumothorax
e. Pleurisy Correct Answers A,B,D
A nurse is caring for a client with acute pulmonary edema. To
immediately promote oxygenation and relieve dyspnea, what
actions should the nurse perform? Select all that apply.
a. administer oxygen
b. place the client in an upright position
c. have the client take deep breaths
d. perform chest physiotherapy
e. instruct the client to cough Correct Answers A,B
, A nurse is caring for a patient diagnosed with Guillain-Barré
syndrome. The patient states, "It's getting harder to take a deep
breath." Which action by the nurse is most appropriate?
a. Call the physician and prepare for intubation
b. Explain the progression of the syndrome
c. Assess lung sounds
d. Encourage the client to cough Correct Answers A
A nurse is caring for a patient with Cushing's syndrome. Which
interventions would the nurse include in the client's plan of
care? Select all that apply.
a. Report systolic BP greater than 139 mm Hg or diastolic BP
greater than 89 mm Hg
b. Examine extremities for pitting edema
c. Provide a high sodium diet
d. Administer prescribed diuretics
e. Monitor weight Correct Answers A,B,D,E
A nurse is discussing cardiac hemodynamics with a patient and
explains the concept of afterload. What are other preexisting
medical conditions to discuss that may increase afterload? Select
all that apply
a. aging
b. hypertension
c. mitral valve stenosis
d. aortic valve stenosis
e. diabetes mellitus Correct Answers A,B,D
A nurse is preparing a teaching plan for a patient diagnosed with
amyotrophic lateral sclerosis (ALS) and his family about the