. A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
, 3. A nurse is admitting a client who has arthritic pain and reports taking
ibuprofen several times daily for 3 years. Which of the following test should the nurse
monitor?
a. Fasting blood glucose
b. Stool for occult blood - GI bleed
c. Urine for white blood cells
d. Serum calcium
Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI
bleed (bloody, tarry stools, abdominal pain).
4. A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first (Click on the “Exhibit” button for additional
information about the client. There are three tabs that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron.
Rationale: No idea what the Exhibit is all about; won’t be able to
answer it.
Endocrine