Solutions
A client diagnosed with chronic obstructive pulmonary disease
(COPD) is given a new prescription for tiotropium via an
inhalation device. Which statement indicates that the client
understands the instructions for using this medication? Correct
Answers I should use this medication in its hand inhaler every
day
A client has a nasogastric (NG) tube placed during abdominal
surgery. During postoperative convalescence, the nurse
identifies that the client is manifesting a hand tremor, muscle
twitching, and confusion. Which arterial blood gases consistent
with metabolic alkalosis should the nurse report to the
healthcare provider? Correct Answers pH 7.46, PCO, 55 mm
Hg, HCO, 36 mEq/L (36 mmol/L), PO, 95 mm Hg. 50% pH
7.46, PCO2 55 mm Hg, HCO3 36 mEq/L, PO2 95 mm Hg.
A client has been administered lactulose for several days. Which
therapeutic response should the nurse expect for a client with
hepatic encephalopathy? Correct Answers Lactulose- works by
reducing serum ammonia levels through the promotion of
ammonia excretion in the feces, leading to improved cognitive
function and mental status in individuals with hepatic
encephalopathy
A client is being cared for in the emergency department with
acute abdominal pain and a provisional diagnosis of pancreatitis.
The nurse assesses the client and obtains the results from
laboratory studies. Which information is most valuable in
, reporting the client's status to the healthcare provider? Correct
Answers Severity of nausea and vomiting and serum amylase
results
A client is recovering from the surgical removal of glass in the
right eye. Which intervention should the nurse implement
immediately following the procedure? Correct Answers Provide
an eye shield to be worn while sleeping
A client presents to the emergency department vomiting dark
brown emesis and in severe abdominal pain. The client reports
to the nurse of recently being diagnosed with adenocarcinoma of
the small intestine. After auscultating bowel sounds and
obtaining vital signs, which prescription should the nurse
implement next? Correct Answers Insert a nasogastric tube
(NGT) and attach to low intermittent suction
A client presents to the emergency department with muscle
aches, headache, fever, and describes a recent loss of taste and
smell. The nurse obtains a nasal swab for COVID-19
testing.Which action is most important for the nurse to take?
Correct Answers Isolate the client from other clients, family,
and healthcare workers not wearing proper personal protective
equipment (PPE)
A client receives a prescription for ophthalmic ketorolac, Prior
to administering the medication, the nurse should review the
medical record for which condition? Correct Answers Corneal
abrasion