PNR 408 REVIEW QUESTIONS WITH
CORRECT ANSWERS
the nurse who is caring for a client with kidney failure notes that the client is to
dyspneic and crackles are heard when listening to the breath sounds in the lungs.
Which additional signs and symptoms should the nurse expect to note in this client?
- ANSWER-an increase in blood pressure
a nurse is reviewing the health records of an assigned client. The nurse should plan
care knowing that which client is a risk for potassium deficiency? - ANSWER-the
client receiving nasogastric suction
the nurse reviews a client's electrolyte results and those of potassium level of 5.5
mEq/L. the nurse understands that potassium values at this level would be noted
with which condition? - ANSWER-traumatic burn
the nurse reviews a client's electrolyte results and knows that the potassium level is
5.4 mEq/L. what should the nurse look for on the cardiac monitor as a result of this
laboratory value? - ANSWER-narrow, peaked t-waves
the nurse is reading the primary health care providers progress notes in the clients
records and sees that the primary health care provider has documented insensible
fluid loss approximately 800 ml daily. Which client is at risk for this loss? - ANSWER-
the client with a fast respiratory rate
the nurse is reviewing the health records of assigned clients. The nurse should plan
care knowing that which client is at risk for fluid volume deficit? - ANSWER-the client
with an ileostomy
The nurse is admitting a client who has abdominal pain, nausea, and vomiting. A
bowel obstruction is suspected. The nurse assesses this client for which of the
following anticipated primary acid-base imbalances if the obstruction is high in the
intestine? - ANSWER-Metabolic alkalosis
The nurse is caring for a client admitted with an exacerbation of asthma. After
several treatments, the ABG results are pH 7.40, PaCO2 40 mm Hg, HCO3 24
mmol/L, PaO2 92 mm Hg, and O2 saturation 99%. Which of the following
interpretations would the nurse document? - ANSWER-Within normal limits
The nurse is caring for a client admitted with a diagnosis of COPD who has the
following arterial blood gas results: pH 7.33, PaO2 47 mm Hg, PaCO2 60 mm Hg,
HCO3 32 mmol/L, and O2 saturation of 92%. Which of the following is the correct
interpretation of these results? - ANSWER-Partially compensated respiratory
acidosis
, the nurse is caring for a client who has been taking diuretics on a long-term basis.
Which finding should the nurse expect to note as a result of this long-term use? -
ANSWER-increase Pacific gravity of urine
the nurse reviews electrolyte values and knows the sodium level of 130 mEq/L. the
nurse expects that the sodium level would be noted in a client with which condition? -
ANSWER-a client with the syndrome of inappropriate secretion of antidiuretic
hormones
the nurse is caring for a client with leukaemia and notes that the client has poor skin
turgor and a flat neck and hand veins. The nurse expects hyponatremia. Which
additional signs and symptoms should the nurse expect to know in this client is
hyponatremia is present? - ANSWER-posterior blood pressure changes
The nurse is caring for a client admitted with heart failure. The morning laboratory
results reveal a serum potassium level of 2.9 mmol/L. Which of the following
classifications of medications should the nurse withhold until consulting with the
health care provider? - ANSWER-Loop diuretics
The nurse is caring for an older-adult client who is receiving IV fluids postoperatively.
During the 0800 hour assessment of this client, the nurse notes that the IV solution,
which was ordered to infuse at 125 mL/hour, has infused 950 mL since it was hung
at 0400. Which of the following actions is the priority nursing intervention? -
ANSWER-Listen to the client's lung sounds and assess respiratory status.
The nurse is assessing a client admitted with nausea and vomiting. Which of the
following findings supports the nursing diagnosis of deficient fluid volume? -
ANSWER-General restlessness
The nurse is caring for a client with partial- and full-thickness burns to 65% of the
body and is planning nutritional interventions for this client. Which of the following
dietary choices should the nurse implement? - ANSWER-High calorie and high
protein diet
The nurse is caring for a client with an electrical burn injury. Which of the following
health care provider orders should the nurse question? - ANSWER-Lactate Ringer's
at 25ml/hr
The nurse is caring for a client with metastatic cancer and notes a hemoglobin level
of 87 mmol/L and hematocrit of 26%. The nurse should place highest priority on
initiating interventions that will reduce which of the following symptoms? - ANSWER-
Fatigue
The nurse is admitting a client with asthma who is in acute respiratory distress. The
nurse auscultates the client's lungs and notes cessation of inspiratory wheezing. The
client has not yet received any medication. What of the following explanations is
most likely related to this clinical presentation? - ANSWER-Airway constriction
requiring intensive interventions
CORRECT ANSWERS
the nurse who is caring for a client with kidney failure notes that the client is to
dyspneic and crackles are heard when listening to the breath sounds in the lungs.
Which additional signs and symptoms should the nurse expect to note in this client?
- ANSWER-an increase in blood pressure
a nurse is reviewing the health records of an assigned client. The nurse should plan
care knowing that which client is a risk for potassium deficiency? - ANSWER-the
client receiving nasogastric suction
the nurse reviews a client's electrolyte results and those of potassium level of 5.5
mEq/L. the nurse understands that potassium values at this level would be noted
with which condition? - ANSWER-traumatic burn
the nurse reviews a client's electrolyte results and knows that the potassium level is
5.4 mEq/L. what should the nurse look for on the cardiac monitor as a result of this
laboratory value? - ANSWER-narrow, peaked t-waves
the nurse is reading the primary health care providers progress notes in the clients
records and sees that the primary health care provider has documented insensible
fluid loss approximately 800 ml daily. Which client is at risk for this loss? - ANSWER-
the client with a fast respiratory rate
the nurse is reviewing the health records of assigned clients. The nurse should plan
care knowing that which client is at risk for fluid volume deficit? - ANSWER-the client
with an ileostomy
The nurse is admitting a client who has abdominal pain, nausea, and vomiting. A
bowel obstruction is suspected. The nurse assesses this client for which of the
following anticipated primary acid-base imbalances if the obstruction is high in the
intestine? - ANSWER-Metabolic alkalosis
The nurse is caring for a client admitted with an exacerbation of asthma. After
several treatments, the ABG results are pH 7.40, PaCO2 40 mm Hg, HCO3 24
mmol/L, PaO2 92 mm Hg, and O2 saturation 99%. Which of the following
interpretations would the nurse document? - ANSWER-Within normal limits
The nurse is caring for a client admitted with a diagnosis of COPD who has the
following arterial blood gas results: pH 7.33, PaO2 47 mm Hg, PaCO2 60 mm Hg,
HCO3 32 mmol/L, and O2 saturation of 92%. Which of the following is the correct
interpretation of these results? - ANSWER-Partially compensated respiratory
acidosis
, the nurse is caring for a client who has been taking diuretics on a long-term basis.
Which finding should the nurse expect to note as a result of this long-term use? -
ANSWER-increase Pacific gravity of urine
the nurse reviews electrolyte values and knows the sodium level of 130 mEq/L. the
nurse expects that the sodium level would be noted in a client with which condition? -
ANSWER-a client with the syndrome of inappropriate secretion of antidiuretic
hormones
the nurse is caring for a client with leukaemia and notes that the client has poor skin
turgor and a flat neck and hand veins. The nurse expects hyponatremia. Which
additional signs and symptoms should the nurse expect to know in this client is
hyponatremia is present? - ANSWER-posterior blood pressure changes
The nurse is caring for a client admitted with heart failure. The morning laboratory
results reveal a serum potassium level of 2.9 mmol/L. Which of the following
classifications of medications should the nurse withhold until consulting with the
health care provider? - ANSWER-Loop diuretics
The nurse is caring for an older-adult client who is receiving IV fluids postoperatively.
During the 0800 hour assessment of this client, the nurse notes that the IV solution,
which was ordered to infuse at 125 mL/hour, has infused 950 mL since it was hung
at 0400. Which of the following actions is the priority nursing intervention? -
ANSWER-Listen to the client's lung sounds and assess respiratory status.
The nurse is assessing a client admitted with nausea and vomiting. Which of the
following findings supports the nursing diagnosis of deficient fluid volume? -
ANSWER-General restlessness
The nurse is caring for a client with partial- and full-thickness burns to 65% of the
body and is planning nutritional interventions for this client. Which of the following
dietary choices should the nurse implement? - ANSWER-High calorie and high
protein diet
The nurse is caring for a client with an electrical burn injury. Which of the following
health care provider orders should the nurse question? - ANSWER-Lactate Ringer's
at 25ml/hr
The nurse is caring for a client with metastatic cancer and notes a hemoglobin level
of 87 mmol/L and hematocrit of 26%. The nurse should place highest priority on
initiating interventions that will reduce which of the following symptoms? - ANSWER-
Fatigue
The nurse is admitting a client with asthma who is in acute respiratory distress. The
nurse auscultates the client's lungs and notes cessation of inspiratory wheezing. The
client has not yet received any medication. What of the following explanations is
most likely related to this clinical presentation? - ANSWER-Airway constriction
requiring intensive interventions
