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NR 341 NR 341 Exam 2 Questions And Answers( Complete Solution Rated A Grade Latest Updates. Exam 2 NR 341

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NR 341 NR 341 Exam 2 Questions And Answers( Complete Solution Rated A Grade Latest Updates. Exam 2 NR 341 1. The nurse is caring for a client with hypovolemic shock. The family member asks why the fluids are being warmed. What is the best response by the nurse? “to prevent complications from hypothermia” 2. The nurse is caring for a newly admitted client diagnosed with acute kidney injury. The nurse understands that the acute kidney injury is most likely related to a history of which condition? Sepsis 3. The nurse is caring for a client being monitored by arterial pressure monitoring. The nurse notes a systolic pressure of 164 mmHg. What action should the nurse take first? Assess the client. 4. The nurse is caring for a client with an arteriovenous (AV) fistula. Upon assessment, the nurse is unable to auscultate a bruit. What action should the nurse take first? Notify the provider 5. The nurse is assessing jugular venous pressure. In what order should the nurse proceed with the steps in the process? [place the steps in the correct order beginning with the first step] • head of bed between 30-45 degrees. • 2. Have client turn head slightly to the left. • 6. Shine a pen light across the neck, assess for jugular venous distension at end of exhalation. • ve the highest point of pulsation in the internal jugular vein at end exhalation. • 4. Measure the vertical distance between the pulsation and the angle of louis. 1. Add 5 cm to the measurement. 6. The nurse is caring for a client with acute kidney injury. The nurse should anticipate which abnormal assessment finding? BUN/creatinine ration 25.1 7. The nurse is caring for a client whose vital signs are monitored using invasive hemodynamic monitoring. Which action is most important for the nurse to implement to decrease the risk of infection? Strict hand washing 8. The nurse is preparing a client for placement of a catheter for arterial pressure monitoring. What is the best way for the nurse to assess ulnar circulation prior to catheter insertion? Occlude the radial artery. 9. The nurse is monitoring a client on hemodialysis. The nurse understands that which lab value has the highest potential to be abnormal and cause complications as a result of fluid imbalance? • Electrolytes 10. The nurse is evaluating a client who is being treated for shock. When evaluating a client being treated for shock, what finding indicated an improvement in the client’s condition? • Bun of 12 mg/Dl …FOR THE EXAM answer was: Creatine 2.6mg/dL that to high normal level is: 0.6 to 1.6mg/dL 11. The nurse is assessing a client during hemodialysis. Which finding should the nurse report to the health care provider immediately? • Redness at insertion site 12. When developing the plan of care for an older adult client with acute kidney injury, th

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Instelling
NR 341 NR 341
Vak
NR 341 NR 341

Voorbeeld van de inhoud

NR 341 NR 341 Exam 2
Questions And Answers(
Complete Solution Rated A
Grade Latest Updates.

Exam 2 NR 341




1. The nurse is caring for a client with hypovolemic shock. The family member asks why
the fluids are being warmed. What is the best response by the nurse?
“to prevent complications from hypothermia”

2. The nurse is caring for a newly admitted client diagnosed with acute kidney injury. The
nurse understands that the acute kidney injury is most likely related to a history of
which condition?
Sepsis

3. The nurse is caring for a client being monitored by arterial pressure monitoring. The
nurse notes a systolic pressure of 164 mmHg. What action should the nurse take first?
Assess the client.

4. The nurse is caring for a client with an arteriovenous (AV) fistula. Upon assessment, the
nurse is unable to auscultate a bruit. What action should the nurse take first? Notify
the provider

5. The nurse is assessing jugular venous pressure. In what order should the nurse proceed
with the steps in the process? [place the steps in the correct order beginning with the
first step]
• 3.place head of bed between 30-45 degrees.
• 2. Have client turn head slightly to the left.
• 6. Shine a pen light across the neck, assess for jugular venous distension at end
of exhalation.
• 5.observe the highest point of pulsation in the internal jugular vein at end
exhalation.
• 4. Measure the vertical distance between the pulsation and the angle of louis.
1. Add 5 cm to the measurement.

, 6. The nurse is caring for a client with acute kidney injury. The nurse should anticipate
which abnormal assessment finding?

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NR 341 NR 341
Vak
NR 341 NR 341

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