1. Which action would the nurse implement when a client is receiving total parenteral
nutrition (TPN)?
- Assess hydration
- Ensure rapid delivery of each infusion
- Monitor weight daily
- Infuse using an electric pump
- Reassess vital signs every 4 hours
- Discard any solution after 24 hours
- Check the expiration date before administration
- Utilize peripheral IV for administration: - Assess hydration
- Monitor weight daily
- Infuse using an electric pump
- Reassess vital signs every 4 hours
- Discard any solution after 24 hours
- Check the expiration date before administration
2. The nurse is performing a breast assessment. Which statement made by the client
indicates a risk of breast cancer? - "I had a late onset of menarche."
- "My first child was born when I was 32."
- "I noticed a slight discharge from a nipple."
- "I perform breast self-examinations."
- "I consume two to four glasses of alcohol a day."
- "My provider prescribed hormone replacement therapy (HRT)."
- "I am going to turn 60 years old next week."
- "My new diet is not helping me with my obesity very much.": - "My first child was born
when I was 32."
- "I noticed a slight discharge from a nipple."
- "I consume two to four glasses of alcohol a day."
- "My provider prescribed hormone replacement therapy (HRT)."
- "My new diet is not helping me with my obesity very much."
1/5
, EAQ 12 Question Quiz
3. A client with a history of cardiac dysrhythmias is admitted to the hospital due to a fluid
volume deficit caused by a pulmonary infection. Which physiologic change would the nurse
expect with this client? Select the 3 findings that the nurse would expect.
- Respiratory rate of 12 breaths/minute
- Blood pressure of 135/80 mmHg
- Oxygen saturation of 100%
- Temporal temperature of 101.2F
- Radial pulse rate of 72 and irregular
- Pain of 6 of 10 with coughing: - Temporal temperature of 101.2F
- Radial pulse rate of 72 and irregular
- Pain of 6 of 10 with coughing
4. The nurse expects a client with an elevated temperature to exhibit which indicators of
pyrexia? Select all that apply. One, some, or all responses may be correct.
- Dyspnea
- Increased appetite
- Flushed face
- Precordial pain
- Increased pulse rate
- Increase blood pressure
- General lethargy
- Chills: - Flushed face
- Increased pulse rate
- General lethargy
- Chills
5. A 50-year-old client is diagnosed with chronic obstructive pulmonary disease (COPD).
The clinical data on admission are as follows: a heart rate of 86 beats/min, a blood
pressure of 142/82 mm Hg, a respiratory rate of 32 breaths/min, a tympanic temperature
98.2°F (36.8°C), oxygen saturation of 88%, and general discomfort with pain 2 out of 10.
Which vital signs obtained by the nurse indicate an improvement in condition? Select the
3 findings that indicate client improvement. - Radial pulse: 88 beats/min
- Temperature: 98.6F
2/5