Imbalances: Medical-Surgical Nursing
Assessement And Management of Clinical
Exam With 100% Correct Answers
While reviewing a client's laboratory results, a nurse notes a serum
calcium level of 8.0mg/dL. Which of the following actions should the
nurse take? --answer ;Implement seizure precautions
A nurse is admitting a client who takes 40mg furosemide daily for heart
failure and has experienced 3 days of vomiting. The nurses suspects
hypokalemia. Which of the following medications should the nurse
prepare to administer? --answer ;0.9% sodium chloride with 10mEq/L
of potassium chloride at 100mL/hr
A nurse is assessing a client who is receiving hydrochlorothiazide and
notes that the client is confused and lethargic. Which of the following
laboratory values should the nurse report to the provider? --answer
;Sodium 128mEq/L
, A nurse is caring for a client who is experiencing respiratory distress as a
result of pulmonary edema. Which of the following actions should the
nurse take first? --answer ;Initiate high-flow oxygen therapy
A nurse is reviewing the ABG results for four clients. Which of the
following findings should the nurse identify as metabolic acidosis? --
answer ;pH 7.26, PaO2 84mmHg, PaCO2 38mmHg HCO3- 20mEq/L
A nurse is assessing a client who has hypomagnesemia. Which of the
following findings should the nurse expect? --answer ;Hyperactive
deep-tendon reflexes
A nurse is caring for a client who requires continuous cardiac
monitoring. The nurse identifies a prolonged PR interval and a widened
QRS complex. Which of the following laboratory values supports this
finding? --answer ;Potassium 6.1mEq/L
A nurse is reviewing the laboratory report of a client who has fluid
volume excess. Which of the following laboratory values should the
nurse expect? --answer ;Hematocrit 34%
A nurse is admitting a client who has status asthmaticus. The client's
ABG results are pH 7.32, PaO2 74mmHg, PaCO2 56mmHg, and HCO3-