with complete solutions.
The nurse is caring for a patient admitted with an exacerbation of asthma.
After several treatments, the ABG results are pH 7.40, PaCO2 40 mm Hg, HCO3
24 mEq/L, PaO2 92 mm Hg, and O2 saturation of 99%. The nurse interprets
these results as
within normal limits.
3 multiple choice options
When assessing the patient with a multi-lumen central line, the nurse notices
that the cap is off one of the lines. On assessment, the patient is in respiratory
distress and the vital signs show hypotension and tachycardia. What
complication does the nurse recognize that the patient may be experiencing?
Air embolism
3 multiple choice options
Which nursing intervention is most appropriate when caring for a patient with
dehydration?
Monitor daily weight and intake and output.
3 multiple choice options
A patient with hypertension has a serum potassium level that has acutely risen
to 6.2 mEq/L. Which provider prescription would the nurse question?
Give a potassium-sparing diuretic daily.
3 multiple choice options
Which serum potassium result best supports the need for administering a stat
dose of IV potassium chloride 20 mEq in 200 mL of normal saline over 2 hours?
, 3.0 mEq/L
3 multiple choice options
Which action is most important for the nurse to take when caring for a patient
with a subclavian triple-lumen catheter?
During removal of the catheter, have the patient perform the Valsalva
maneuver.
3 multiple choice options
A patient receiving calcium carbonate for the treatment of osteopenia. Which
serum laboratory result would the nurse identify as an adverse effect related
to this therapy?
Phosphorus falling to 2.1 mg/dL
3 multiple choice options
When planning care for a patient with dehydration related to nausea and
vomiting, the nurse would anticipate which fluid shift to occur because of the
fluid volume deficit?
Fluid movement from the interstitial spaces into the plasma
3 multiple choice options
When assessing a patient admitted with nausea and vomiting, which finding
best supports the patient problem of deficient fluid volume?
Restlessness
3 multiple choice options
While caring for a patient with metastatic bone cancer, which clinical
manifestations would alert the nurse to the possibility of hypercalcemia?
(Select all that apply.)
Weakness
Depressed reflexes
1 multiple choice option