Complex Health Quiz 1-4
Complex health exam 1
The nurse is planning care for a patient with fluid volume overload and hyponatremia.
Which intervention should be included in this patient's plan of care?
Administer Intravenous fluids
Restrict fluids
Provide Kayexalate (sodium polystyrene sulfonate)
Administer intravenous Normal Saline with Furosemide (Lasix)
restrict fluids
A patient's blood gas show a pH of 7.53 and bicarbonate level of 36 mEq/L. The nurse
prepares to treat this patient for which acid-base disorder?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
Metabolic Alkalosis
A patient's serum potassium is 2.2 mEq/L. Which nursing action is the highest priority
for this patient?
Intiate cardiac monitoring
Intiate seizure precuations
Administer Sodium polystrene (Kayexalate) as prescribe
Start oxygen at 2L/ min
,initiate cardiac monitoring
A 61 year old client is admitted with pneumonia. Her ABG results are pH 7.46, PaO2 94,
PaCO2 30, HCO3 19, and SaO2 72%. The nurse interprets this as:
Metabolic Alkalosis
Respiratory Alkalosis
Respiratory Acidosis
Metabolic Acidosis
Respiratory Alkalosis
A client is brought to the emergency department with a suspected narcotic (heroin)
overdose. The nurse anticipates that assessment findings and ABGs will reveal:
restlessness and hypoxemia
agitation and alkalosis
decreased level of consciousness and acidosis
tachypnea and acidosis
decreased level of consciousness and acidosis
A nurse is admitting a client who reports nausea, vomiting, and weakness. Upon
assessment, the client has dry oral mucous membranes, temperature 38.5 C (101.3 F),
pulse 92/min, respiration 24/min, skin cool with tenting present, and blood pressure 102/
64 mm Hg. His urine is concentrated with a high specific gravity. Which of the following
is not a clinical manifestation of fluid volume deficit?
Decreased skin turgor
Bradycardia
Concentrated urine
Low-grade fever
Bradycardia
A patient is being treated for an intestinal obstruction. The nurse inserts a nasogastric
tube and attaches it to low continuous suction. Which acid base imbalance is the patient
,at risk for?
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Metabolic alkalosis
A nurse is caring for a client who has a laboratory finding of serum potassium 5.7
mEq/L. The nurse should assess for which of the following clinical manifestations?
Polyuria
Constipation
Hypotension
EKG changes
EKG changes
A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will
mostly likely need which precautions implemented?
Hypertensive precautions
Infection precautions
Neutropenic precautions
Seizure precautions
Seizure precautions
What are common precipitating factors of hypoglycemia?
Select all that apply.
Hemodialysis
, Missing meals or snacks
Excessive insulin
Wrong type of insulin
Missing meals or snacks, Excessive insulin,Wrong type of insulin
The nurse is preparing patients newly diagnosed with diabetes mellitus (DM) for
discharge from an acute care facility. What should the nurse include in patient teaching
regarding medications to treat DM?
Type 1 diabetes may progress to type 2 if blood glucose levels are not well controlled.
Patients with type 1 diabetes will always need an exogenous source of insulin.
Patients with type 2 diabetes generally need a combination of oral medications and
insulin to achieve normal blood glucose levels.
Patients with type 1 diabetes may achieve normal blood glucose levels with oral
medications.
Patients with type 1 diabetes will always need an exogenous source of insulin.
The nurse instructs the client recently diagnosed with type 1 diabetes about proper meal
planning. Which action should the nurse take first?
Teach the client how to use the Exchange List for Meal Planning.
Obtain a diet history that includes the client's favorite foods and usual meal patterns.
Inform the client that 50-60% of calories should come from carbohydrates.
Instruct the client about the importance of eating regular meals.
Obtain a diet history that includes the client's favorite foods and usual meal patterns.
The nurse understands that which type of insulin has the longest duration of action?
Glargine (Lantus)
Aspart (Novolog)
Complex health exam 1
The nurse is planning care for a patient with fluid volume overload and hyponatremia.
Which intervention should be included in this patient's plan of care?
Administer Intravenous fluids
Restrict fluids
Provide Kayexalate (sodium polystyrene sulfonate)
Administer intravenous Normal Saline with Furosemide (Lasix)
restrict fluids
A patient's blood gas show a pH of 7.53 and bicarbonate level of 36 mEq/L. The nurse
prepares to treat this patient for which acid-base disorder?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
Metabolic Alkalosis
A patient's serum potassium is 2.2 mEq/L. Which nursing action is the highest priority
for this patient?
Intiate cardiac monitoring
Intiate seizure precuations
Administer Sodium polystrene (Kayexalate) as prescribe
Start oxygen at 2L/ min
,initiate cardiac monitoring
A 61 year old client is admitted with pneumonia. Her ABG results are pH 7.46, PaO2 94,
PaCO2 30, HCO3 19, and SaO2 72%. The nurse interprets this as:
Metabolic Alkalosis
Respiratory Alkalosis
Respiratory Acidosis
Metabolic Acidosis
Respiratory Alkalosis
A client is brought to the emergency department with a suspected narcotic (heroin)
overdose. The nurse anticipates that assessment findings and ABGs will reveal:
restlessness and hypoxemia
agitation and alkalosis
decreased level of consciousness and acidosis
tachypnea and acidosis
decreased level of consciousness and acidosis
A nurse is admitting a client who reports nausea, vomiting, and weakness. Upon
assessment, the client has dry oral mucous membranes, temperature 38.5 C (101.3 F),
pulse 92/min, respiration 24/min, skin cool with tenting present, and blood pressure 102/
64 mm Hg. His urine is concentrated with a high specific gravity. Which of the following
is not a clinical manifestation of fluid volume deficit?
Decreased skin turgor
Bradycardia
Concentrated urine
Low-grade fever
Bradycardia
A patient is being treated for an intestinal obstruction. The nurse inserts a nasogastric
tube and attaches it to low continuous suction. Which acid base imbalance is the patient
,at risk for?
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Metabolic alkalosis
A nurse is caring for a client who has a laboratory finding of serum potassium 5.7
mEq/L. The nurse should assess for which of the following clinical manifestations?
Polyuria
Constipation
Hypotension
EKG changes
EKG changes
A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will
mostly likely need which precautions implemented?
Hypertensive precautions
Infection precautions
Neutropenic precautions
Seizure precautions
Seizure precautions
What are common precipitating factors of hypoglycemia?
Select all that apply.
Hemodialysis
, Missing meals or snacks
Excessive insulin
Wrong type of insulin
Missing meals or snacks, Excessive insulin,Wrong type of insulin
The nurse is preparing patients newly diagnosed with diabetes mellitus (DM) for
discharge from an acute care facility. What should the nurse include in patient teaching
regarding medications to treat DM?
Type 1 diabetes may progress to type 2 if blood glucose levels are not well controlled.
Patients with type 1 diabetes will always need an exogenous source of insulin.
Patients with type 2 diabetes generally need a combination of oral medications and
insulin to achieve normal blood glucose levels.
Patients with type 1 diabetes may achieve normal blood glucose levels with oral
medications.
Patients with type 1 diabetes will always need an exogenous source of insulin.
The nurse instructs the client recently diagnosed with type 1 diabetes about proper meal
planning. Which action should the nurse take first?
Teach the client how to use the Exchange List for Meal Planning.
Obtain a diet history that includes the client's favorite foods and usual meal patterns.
Inform the client that 50-60% of calories should come from carbohydrates.
Instruct the client about the importance of eating regular meals.
Obtain a diet history that includes the client's favorite foods and usual meal patterns.
The nurse understands that which type of insulin has the longest duration of action?
Glargine (Lantus)
Aspart (Novolog)
