NURS 301 ATI Book Questions Exam 2 – Questions
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Terms in this set (37)
A nurse is admitting a client who 1, 2, 4, 5
reports nausea, vomiting, and
weakness. The client has dry mucous
membranes and blood pressure
102/64 mmHg. Which of the following
finding should the nurse identify as
manifestations of fluid volume deficit.
Select all that apply.
1) decreased skin turgor
2) concentrated urine
3) bradycardia
4) low-grade fever
5) tachypnea
A nurse is admitting an older adult 1, 2, 4, 5
client who reports a weight gain of 2.3
kg (5lb) in 48 hours. Which of the
following manifestations of fluid
volume excess should the nurse
expect?
Select all that apply.
1) dyspnea
2) edema
3) bradycardia
4) hypertension
5) weakness
, A nurse is assessing a client who is 4
dehydrated. Which of the following
findings should the nurse expect?
1) moist skin
2) distended neck veins
3) increased urinary output
4) tachycardia
A nurse is caring for a client in a long- 4
term care facility who has become
weak, confused, and experienced
dizziness when standing. The client's
temperature is 38.3 degrees C (100.9
degrees F), pulse 92/min, respirations
20/min, and blood pressure 108/60
mm Hg. Which of the following actions
should the nurse take?
1) Initiate fluid restrictions to limit
intake
2) check for peripheral edema
3) encourage the client to ambulate to
promote oxygenation
4) monitor for orthostatic hypotension
A nurse is caring for a client who has a 1
blood sodium level 133 mEq/L and
blood potassium level 3.4 mEq/L. The
nurse should recognize that which of
the following treatments can result in
these laboratory findings?
1) three tap water enemas
2) 0.9% sodium chloride solution IV at
50 mL/hr
3) 5% dextrose with 0.45% sodium
chloride solution with 20 mEq of K+ IV
at 80 mL/hr
4) antibiotic therapy
With Proper Solutions
Save
Terms in this set (37)
A nurse is admitting a client who 1, 2, 4, 5
reports nausea, vomiting, and
weakness. The client has dry mucous
membranes and blood pressure
102/64 mmHg. Which of the following
finding should the nurse identify as
manifestations of fluid volume deficit.
Select all that apply.
1) decreased skin turgor
2) concentrated urine
3) bradycardia
4) low-grade fever
5) tachypnea
A nurse is admitting an older adult 1, 2, 4, 5
client who reports a weight gain of 2.3
kg (5lb) in 48 hours. Which of the
following manifestations of fluid
volume excess should the nurse
expect?
Select all that apply.
1) dyspnea
2) edema
3) bradycardia
4) hypertension
5) weakness
, A nurse is assessing a client who is 4
dehydrated. Which of the following
findings should the nurse expect?
1) moist skin
2) distended neck veins
3) increased urinary output
4) tachycardia
A nurse is caring for a client in a long- 4
term care facility who has become
weak, confused, and experienced
dizziness when standing. The client's
temperature is 38.3 degrees C (100.9
degrees F), pulse 92/min, respirations
20/min, and blood pressure 108/60
mm Hg. Which of the following actions
should the nurse take?
1) Initiate fluid restrictions to limit
intake
2) check for peripheral edema
3) encourage the client to ambulate to
promote oxygenation
4) monitor for orthostatic hypotension
A nurse is caring for a client who has a 1
blood sodium level 133 mEq/L and
blood potassium level 3.4 mEq/L. The
nurse should recognize that which of
the following treatments can result in
these laboratory findings?
1) three tap water enemas
2) 0.9% sodium chloride solution IV at
50 mL/hr
3) 5% dextrose with 0.45% sodium
chloride solution with 20 mEq of K+ IV
at 80 mL/hr
4) antibiotic therapy
