EXAMS COMPLETE QUESTIONS AND CORRECT ANSWERS|AGRADE
Terms in this set (138)
A nurse is assessing a client b. Distended neck veins
who is receiving intravenous
therapy. The nurse should
identify which of the following
findings as a manifestation of
fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
A nurse is caring for a client b. Improved cognition
who has hyponatremia and is
receiving an infusion of a
prescribed hypertonic solution.
Which of the following findings
should indicate to the nurse
that the treatment is effective?
a.Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
A nurse is teaching a client who d. "Remove the patch prior to going to bed."
has a new prescription for a
nitroglycerin transdermal patch.
Which of the following
instructions should the nurse
include?
a. "Discontinue the patch if you
experience a headache."
b. "Apply a new patch if you
have chest pain."
c. "Cover the patch with dry
gauze when taking a shower."
d. "Remove the patch prior to going
, to
bed."
A nurse is reviewing he d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium
laboratory results of a client level greater than 5.0 mEq/L) increases the client risk for fatal
who has a prescription for cardiac dysrhythmias. Kayexalate is used to decrease the serum
sodium polystyrene sulfonate potassium level so the PN should monitor the client's serum
(Kayexalate) every 6 hr. which potassium level
of the following should the
nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
A nurse is caring for a client a. The client has a negative sputum culture
who has tuberculosis and is
taking isoniazid and rifampin.
Which of the following
outcomes indicates that the
client is adhering to the
medication regimen?
a. The client has a negative
sputum culture
b. The client tests negative for HIV
c.The client has a positive
purified protein derivative test
d. The client's liver function test
results are within the expected
reference range
,A client is caring for a client who d. Administer epinephrine IM
develops an anaphylactic
reaction to IV administration.
After assessing the client's
respiratory status and stopping
the medication infusion. Which
of the following actions should
the nurse take next?
a. Replace the infusion with
0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM
, A nurse is caring for a client a. St. John's Wort
who is taking sertraline and
reports a desire to begin taking
supplements. Which of the
following supplements should
the nurse advise the client to
avoid?
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
A nurse is caring for a client who d. Hypotension
has heart failure and a new
prescription for lisinopril. For
which of the following adverse
effects should the nurse
monitor when administering
lisinopril?
a. Bradycardia
b. Hypokalemia
c.Tinnitus
d. Hypotension
A nurse is assessing a client d. Increased blood pressure
who is receiving heparin IV
continuous IV. The client has
an PPT of 90 seconds. They
should monitor the client for
which of the following
changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure