EXAM 3 Q&A SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 20212022 GRADED A+ RASMUSSEN COLLEGE
• Identify the appropriate intervention(s) for a patient with hypovolemia.
Choose all that apply.
B.
Monitor I&O daily.
C.
Encourage fluid intake.
D.
Monitor electrolyte balance.
Correct Answers: B.
NUR 2349 PN1 EXAM 3 Q&A BEST EXAM SOLUTION PN1
EXAM 3 Q&A SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 20212022 GRADED A+ RASMUSSEN COLLEGE
,NUR 2349 PN1 EXAM 3 Q&A BEST EXAM SOLUTION PN1
EXAM 3 Q&A SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 20212022 GRADED A+ RASMUSSEN COLLEGE
Monitor I&O daily.
C.
Encourage fluid intake.
D.
Monitor electrolyte balance.
Respons Hypovolemia occurs when more fluid is lost than is taken into
e the body. Monitoring I&O provides information to evaluate the
Feedbac status of the problem. Encouraging fluid intake helps to correct
k: the problem. It is good to monitor electrolytes because
electrolyte imbalance can occur with hypovolemia (although it
may not occur at first). Deep-breathing techniques do not
address fluid balance; there is no evidence that the patient has a
respiratory disorder.Cognitive level: ApplicationNCLEX
Blueprint: physiological adaptation
• Question 2
• The nurse is using the Braden Scale to determine a client’s risk for developing
a pressure ulcer. Which of the following areas are assessed with this scale?
• Selected Answer: D.
• Friction and shear
• Correct Answer: D.
NUR 2349 PN1 EXAM 3 Q&A BEST EXAM SOLUTION PN1
EXAM 3 Q&A SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 20212022 GRADED A+ RASMUSSEN COLLEGE
,NUR 2349 PN1 EXAM 3 Q&A BEST EXAM SOLUTION PN1
EXAM 3 Q&A SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 20212022 GRADED A+ RASMUSSEN COLLEGE
• Friction and shear
•
• Response • The Braden Scale is used to assess a client’s risk for
Feedback: developing a pressure ulcer. This scale assesses the areas of
sensory perception, moisture, activity, mobility, nutrition,
and friction and shear. Home environment, finances, and
medications are not assessed with the use of this
scale.Cognitive level: applicationNCLEX Blueprint: Health
promotion and Maintenance
• Question 3
The nurse records a patient’s hourly urine output from an indwelling catheter
as follows:0700: 36 mL0800: 45 mL0900: 85 mL1000: 62 mL1100: 50
mL1200: 48 mL1300:
94 mL1400: 78 mL1500: 60 mLThe nurse can conclude that the patient’s urine
output should be described as which of the following?
NUR 2349 PN1 EXAM 3 Q&A BEST EXAM SOLUTION PN1
EXAM 3 Q&A SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 20212022 GRADED A+ RASMUSSEN COLLEGE
, NUR 2349 PN1 EXAM 3 Q&A BEST EXAM SOLUTION PN1
EXAM 3 Q&A SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 20212022 GRADED A+ RASMUSSEN COLLEGE
Selected Answer: B.
Within normal limits
Correct Answer: B.
Within normal limits
Respons Urine accounts for the greatest amount of fluid loss. Normal
e urine output for an average-sized adult is approximately 1,500
Feedbac mL in 24 hr. Urine output varies according to intake and activity
k: but should remain at least 30 to 50 mL per hour. The patient’s
urine output is within the normal range. This patient has an
indwelling catheter, which will result in continual flow of
urine.Cognitive level: analysisNCLEX Blueprint: basic care and
comfort
• Question 4
A client is admitted with severe diarrhea. Arterial blood gas (ABG) results are
pH 7.33; PaCO 2 42; HCO 3 – 20. The nurse concludes this client has which
acid–base imbalance?
Selected Answer: A.
Uncompensated metabolic acidosis
Correct Answer: A.
NUR 2349 PN1 EXAM 3 Q&A BEST EXAM SOLUTION PN1
EXAM 3 Q&A SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 20212022 GRADED A+ RASMUSSEN COLLEGE