NR 305 / NR305 Physiological Health Problems QUIZ - QUESTIONS AND ANSWERS WITH RATIONALE

1 / 1 pts A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment? A client undergoing long-term corticosteroid therapy with mild bruising on the anterior surfaces of the arms Correct! A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema A client with congestive heart failure with clear lung sounds on the previous shift 1 / 1 pts A client with gastroenteritis who has been vomiting and has diarrhea is admitted to the hospital with a diagnosis of dehydration. For which clinical manifestations that correlate with this fluid imbalance would the nurse assess the client? Select all that apply. Correct! Decreased urine output 1 / 1 pts A nurse is reviewing the medical records of the clients to whom she is assigned on the 7 am–7 pm shift. Which client will the nurse monitor most closely for excessive fluid volume? Correct! An 85-year-old client receiving intravenous (IV) therapy at a rate of 100 mL/hr Question 4 1 / 1 pts A nurse is caring for a client who is being treated for congestive heart failure and has been assigned a nursing diagnosis of excessive fluid volume. Which assessment finding causes the nurse to determine that the client’s condition has improved? Dyspnea 1 / 1 pts A nurse notes that a client has ST-segment depression on the electrocardiogram (ECG) monitor. With which serum potassium reading does the nurse associate this finding? 4.5 mEq/L (4.5 mmol/L) 1 / 1 pts A healthcare provider writes a prescription for the administration of intravenous (IV) potassium chloride to a client with hypokalemia. What does the nurse plan to do when preparing and administering this medication? Prepare the client for insertion of a central IV line Question 7 1 / 1 pts A nurse notes that a client’s serum potassium level is 5.8 mEq/L(5.8 mmol/L). The nurse interprets this as an expected finding in the client with: Correct! Addison disease 1 / 1 pts A nurse is caring for a client experiencing hyponatremia who was admitted to the medical-surgical unit with fluid-volume overload. For which clinical manifestations of this electrolyte imbalance does the nurse monitor this client? Select all that apply. Correct! Skeletal muscle weakness Question 9 0.5 / 1 pts A nurse is monitoring a client with hyperparathyroidism for signs of hypercalcemia. For which clinical manifestations, associated with this electrolyte imbalance, does the nurse assess the client? Select all that apply. Chvostek sign Question 10 1 / 1 pts A nurse is caring for a client with Crohn disease whose magnesium level is 1.0 mEq/L (0.5 mmol/L). Which assessment findings does the nurse expect to note? Select all that apply. Decreased deep tendon reflexes HESI Concepts: Assessment, Fluid and Electrolytes Question 11 1 / 1 pts A nurse enters a client's room and finds the client unconscious. The nurse quickly performs an assessment and determines that the client is not breathing. Which action does the nurse take first?