NURS 380 Exam 1 – Questions With Perfect Step
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Terms in this set (248)
A nurse is caring for a Monitor for orthostatic hypotension
patient in a long-term
care facility who has
become weak, confused,
and experienced
dizziness when standing.
The client's temperature
3 multiple choice options
is 38.3'C (100.9'F), pulse
92/min, respirations
20/min, and blood
pressure 108/60. Which of
the following actions
should the nurse take?
The nurse is caring for a Hypertonic 3 multiple choice options
patient with severe
hyponatremia. Which
intravenous solution will
the nurse expect to be
ordered by the provider?
The nurse plans care for Heart rate of 120 bpm 3 multiple choice options
a hospitalized patient.
Which data necessitate
the inclusion of
interventions to address a
fluid volume deficit?
,In reviewing laboratory Hematocrit 55% 3 multiple choice options
results for a patient
suspected of having a
fluid imbalance, the nurse
correlates which
laboratory value with a
diagnosis of
dehydration?
The nurse reviews the Potassium (K) 2.1 mEq/L 3 multiple choice options
serum electrolyte levels
for a patient. Which result
would the nurse
immediately report to the
health care provider?
The nurse provides care Serum sodium level of 125 mEq/L
to a patient who is
prescribed 0.45% normal
saline (NS) by
intravenous (IV) infusion.
Which data cause the 3 multiple choice options
nurse to question the
healthcare provider
regarding this IV fluid
order?
A preceptor is teaching a "The IV solution will come from the pharmacy and I
student nurse about will administer it slowly via IVPB."
prescribed IV potassium
replacement therapy.
Which statement by the
3 multiple choice options
student indicates that
teaching has been
effective?
,The nurse recognizes Decrease sense of smell
which age-related Changes in taste sensation
changes impact the older
adult's intake of food and
fluids, thereby impacting
their fluid and electrolyte
balance? Select all that
apply.
Question 8 options:
Increased salivation
Increased urine output
Decrease sense of smell
Changes in taste
sensation
A nurse is assessing a Tachycardia 3 multiple choice options
client who is dehydrated.
Which of the following
findings should the nurse
expect?
A nurse is admitting an Dyspnea
older adult client who Hypertension
reports a weight gain of Edema
2.3 kg (5 lb) in 48 hours.
Which of the following
manifestations of fluid
volume excess should
the nurse expect? (Select
all that apply)
Question 10 options:
Dyspnea
Hypertension
Edema
Bradycardia
minerals that carry electrical charges that help
electrolytes
maintain the body's fluid balance
cations positive ions
, anions negatively charged ions
intracellular fluid fluid within cells
extracellular fluids interstitial fluid between cells and fluid in the blood
lymph fluid fluid from the blood that moves into lymph vessels
plasma intravascular fluid, 8% of body's total body water
transcellular fluid 2% of body's total water, located in GI, respiratory
intake includes the metabolism, food, drinking
following
output includes the feces, breathing, skin, urine
following
movement of water across semi permeable
osmosis
membrane
solutes or particles from higher concentration to
diffusion
area of lower concentration
process by which water and dissolved substances
filtration
cross a membrane as a result of hydrostatic pressure
the pressure within a blood vessel that tends to push
hydrostatic pressure
water out of the vessel
Systems in Fluid and Renal, GI, endocrine, respiratory, insensible losses
Electrolyte Regulation
- decrease in taste, smell, and thirst
- comorbidities: DM, arthritis, HF, hypertension
- medications: laxatives, diuretics
- thirst sensation is blunted
Age Related Changed
- lose olfactory fibers & receptors
with Fluids
- decrease in olfactory function
- loss of ability to discriminate smells
- affects taste sensation
- impacts oral intake
- fluid volume deficit
Hypovolemia - dehydration
- can develop quickly
By Step Solutions
Save
Terms in this set (248)
A nurse is caring for a Monitor for orthostatic hypotension
patient in a long-term
care facility who has
become weak, confused,
and experienced
dizziness when standing.
The client's temperature
3 multiple choice options
is 38.3'C (100.9'F), pulse
92/min, respirations
20/min, and blood
pressure 108/60. Which of
the following actions
should the nurse take?
The nurse is caring for a Hypertonic 3 multiple choice options
patient with severe
hyponatremia. Which
intravenous solution will
the nurse expect to be
ordered by the provider?
The nurse plans care for Heart rate of 120 bpm 3 multiple choice options
a hospitalized patient.
Which data necessitate
the inclusion of
interventions to address a
fluid volume deficit?
,In reviewing laboratory Hematocrit 55% 3 multiple choice options
results for a patient
suspected of having a
fluid imbalance, the nurse
correlates which
laboratory value with a
diagnosis of
dehydration?
The nurse reviews the Potassium (K) 2.1 mEq/L 3 multiple choice options
serum electrolyte levels
for a patient. Which result
would the nurse
immediately report to the
health care provider?
The nurse provides care Serum sodium level of 125 mEq/L
to a patient who is
prescribed 0.45% normal
saline (NS) by
intravenous (IV) infusion.
Which data cause the 3 multiple choice options
nurse to question the
healthcare provider
regarding this IV fluid
order?
A preceptor is teaching a "The IV solution will come from the pharmacy and I
student nurse about will administer it slowly via IVPB."
prescribed IV potassium
replacement therapy.
Which statement by the
3 multiple choice options
student indicates that
teaching has been
effective?
,The nurse recognizes Decrease sense of smell
which age-related Changes in taste sensation
changes impact the older
adult's intake of food and
fluids, thereby impacting
their fluid and electrolyte
balance? Select all that
apply.
Question 8 options:
Increased salivation
Increased urine output
Decrease sense of smell
Changes in taste
sensation
A nurse is assessing a Tachycardia 3 multiple choice options
client who is dehydrated.
Which of the following
findings should the nurse
expect?
A nurse is admitting an Dyspnea
older adult client who Hypertension
reports a weight gain of Edema
2.3 kg (5 lb) in 48 hours.
Which of the following
manifestations of fluid
volume excess should
the nurse expect? (Select
all that apply)
Question 10 options:
Dyspnea
Hypertension
Edema
Bradycardia
minerals that carry electrical charges that help
electrolytes
maintain the body's fluid balance
cations positive ions
, anions negatively charged ions
intracellular fluid fluid within cells
extracellular fluids interstitial fluid between cells and fluid in the blood
lymph fluid fluid from the blood that moves into lymph vessels
plasma intravascular fluid, 8% of body's total body water
transcellular fluid 2% of body's total water, located in GI, respiratory
intake includes the metabolism, food, drinking
following
output includes the feces, breathing, skin, urine
following
movement of water across semi permeable
osmosis
membrane
solutes or particles from higher concentration to
diffusion
area of lower concentration
process by which water and dissolved substances
filtration
cross a membrane as a result of hydrostatic pressure
the pressure within a blood vessel that tends to push
hydrostatic pressure
water out of the vessel
Systems in Fluid and Renal, GI, endocrine, respiratory, insensible losses
Electrolyte Regulation
- decrease in taste, smell, and thirst
- comorbidities: DM, arthritis, HF, hypertension
- medications: laxatives, diuretics
- thirst sensation is blunted
Age Related Changed
- lose olfactory fibers & receptors
with Fluids
- decrease in olfactory function
- loss of ability to discriminate smells
- affects taste sensation
- impacts oral intake
- fluid volume deficit
Hypovolemia - dehydration
- can develop quickly
