Physiological Adaptation Latest Exam
Questions With Verified Solutions.
Review the client's health information in the electronic health record (EHR) and then answer the
question.
Complete the sentences by choosing from the list of options.
The nurse knows that _______ is the priority concern for the client. The nurse's first action is to ______.
Next, the nurse should anticipate a prescription for _________. The nurse should question the
prescription to administer ________. - Answer heat stroke
apply ice and cooling blankets
administration of cooled IV fluids
acetaminophen
The nurse cares for a client who has been on positive pressure-controlled mechanical ventilation for 24
hours. During the respiratory assessment, the nurse finds an increase in adventitious lung sounds.
Additionally, the nurse notes a temperature of 100 °F (37.8 °C). The client's skin is pale and dry. The
nurse notes a decrease in tidal volume on the ventilator. Which actions should the nurse take next?
Select all that apply.
Swab the client's mouth with 0.12% chlorhexidine oral rinse.
Collaborate with respiratory therapy for chest physiotherapy.
Prepare the client for emergent chest tube insertion.
Contact the provider for a prescription for antibiotics.
Suction the client to remove excess secretions.
Verify that the head of the bed is elevated at least 30-45 degrees.
Turn the client to one side while maintaining head elevation. - Answer Collaborate with RT for chest
physiotherapy
Suction the client to remove excess secretions
Verify the HOB is elevated at least 30-45 degrees
Turn the client to one side while maintaining head elevation
, The nurse cares for a client who has just completed a hemodialysis session. For each assessment finding
listed, click to indicate whether the assessment finding is expected or concerning at this time.
Serum potassium 5.5 mEq/L (reference range 3.5-5.0 mEq/L)
Temperature 98.6 °F (37 °C)
Blood pressure 108/78 mmHg
Reported fatigue
Serum phosphate 6 mg/dL (reference range 3-4.5 mg/dL)
Clear lung sounds
Serum sodium 136 mEq/L (reference range 136-145 mEq/L) - Answer Concerning
Expected
Expected
Expected
Concerning
Expected
Expected
The nurse follows up with a client who recently started home peritoneal dialysis. Which statements by
the client require immediate follow-up by the nurse? Select all that apply.
"My partner helps me get the process started but, since we live together, my partner does not wear a
mask."
"The first few times that I did this there was some blood in the solution that came out at the end of the
procedure. Now it is straw-colored or clear."
"I end up doing about four to five exchanges a day doing it every single day of the week."
"It takes nearly 10 full minutes for the solution to run in through the catheter when I start the
procedure."
"Sometimes all of the solution does not come back out, so I have to push the catheter in further and
move around to get it moving." - Answer "My partner helps me get the process started but, since we
live together, my partner does not wear a mask."
"Sometimes all of the solution does not come back out, so I have to push the catheter in further and
move around to get it moving."
Questions With Verified Solutions.
Review the client's health information in the electronic health record (EHR) and then answer the
question.
Complete the sentences by choosing from the list of options.
The nurse knows that _______ is the priority concern for the client. The nurse's first action is to ______.
Next, the nurse should anticipate a prescription for _________. The nurse should question the
prescription to administer ________. - Answer heat stroke
apply ice and cooling blankets
administration of cooled IV fluids
acetaminophen
The nurse cares for a client who has been on positive pressure-controlled mechanical ventilation for 24
hours. During the respiratory assessment, the nurse finds an increase in adventitious lung sounds.
Additionally, the nurse notes a temperature of 100 °F (37.8 °C). The client's skin is pale and dry. The
nurse notes a decrease in tidal volume on the ventilator. Which actions should the nurse take next?
Select all that apply.
Swab the client's mouth with 0.12% chlorhexidine oral rinse.
Collaborate with respiratory therapy for chest physiotherapy.
Prepare the client for emergent chest tube insertion.
Contact the provider for a prescription for antibiotics.
Suction the client to remove excess secretions.
Verify that the head of the bed is elevated at least 30-45 degrees.
Turn the client to one side while maintaining head elevation. - Answer Collaborate with RT for chest
physiotherapy
Suction the client to remove excess secretions
Verify the HOB is elevated at least 30-45 degrees
Turn the client to one side while maintaining head elevation
, The nurse cares for a client who has just completed a hemodialysis session. For each assessment finding
listed, click to indicate whether the assessment finding is expected or concerning at this time.
Serum potassium 5.5 mEq/L (reference range 3.5-5.0 mEq/L)
Temperature 98.6 °F (37 °C)
Blood pressure 108/78 mmHg
Reported fatigue
Serum phosphate 6 mg/dL (reference range 3-4.5 mg/dL)
Clear lung sounds
Serum sodium 136 mEq/L (reference range 136-145 mEq/L) - Answer Concerning
Expected
Expected
Expected
Concerning
Expected
Expected
The nurse follows up with a client who recently started home peritoneal dialysis. Which statements by
the client require immediate follow-up by the nurse? Select all that apply.
"My partner helps me get the process started but, since we live together, my partner does not wear a
mask."
"The first few times that I did this there was some blood in the solution that came out at the end of the
procedure. Now it is straw-colored or clear."
"I end up doing about four to five exchanges a day doing it every single day of the week."
"It takes nearly 10 full minutes for the solution to run in through the catheter when I start the
procedure."
"Sometimes all of the solution does not come back out, so I have to push the catheter in further and
move around to get it moving." - Answer "My partner helps me get the process started but, since we
live together, my partner does not wear a mask."
"Sometimes all of the solution does not come back out, so I have to push the catheter in further and
move around to get it moving."
