Complex Health NR 341 Practice . (Questions with Completed Solutions)Test 1

Complex health exam 1 The nurse is planning care for a patient with fluid volume overload and hyponatremia. Which intervention should be included in this patient's plan of care? Administer Intravenous fluids Restrict fluids Provide Kayexalate (sodium polystyrene sulfonate) Administer intravenous Normal Saline with Furosemide (Lasix) restrict fluids A patient's blood gas show a pH of 7.53 and bicarbonate level of 36 mEq/L. The nurse prepares to treat this patient for which acid-base disorder? Respiratory alkalosis Metabolic alkalosis Respiratory acidosis Metabolic acidosis Metabolic Alkalosis A patient's serum potassium is 2.2 mEq/L. Which nursing action is the highest priority for this patient? Intiate cardiac monitoring Intiate seizure precuations Administer Sodium polystrene (Kayexalate) as prescribe Start oxygen at 2L/ min initiate cardiac monitoring A 61 year old client is admitted with pneumonia. Her ABG results are pH 7.46, PaO2 94, PaCO2 30, HCO3 19, and SaO2 72%. The nurse interprets this as: Metabolic Alkalosis Respiratory Alkalosis Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis A client is brought to the emergency department with a suspected narcotic (heroin) overdose. The nurse anticipates that assessment findings and ABGs will reveal: restlessness and hypoxemia agitation and alkalosis decreased level of consciousness and acidosis tachypnea and acidosis decreased level of consciousness and acidosis A nurse is admitting a client who reports nausea, vomiting, and weakness. Upon assessment, the client has dry oral mucous membranes, temperature 38.5 C (101.3 F), pulse 92/min, respiration 24/min, skin cool with tenting present, and blood pressure 102/ 64 mm Hg. His urine is concentrated with a high specific gravity. Which of the following is not a clinical manifestation of fluid volume deficit? Decreased skin turgor Bradycardia Concentrated urine Low-grade fever Bradycardia A patient is being treated for an intestinal obstruction. The nurse inserts a nasogastric tube and attaches it to low continuous suction. Which acid base imbalance is the patient at risk for? Respiratory alkalosis Metabolic acidosis Metabolic alkalosis Respiratory acidosis Metabolic alkalosis A nurse is caring for a client who has a laboratory finding of serum potassium 5.7 mEq/L. The nurse should assess for which of the following clinical manifestations? Polyuria Constipation Hypotension EKG changes EKG changes A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will mostly likely need which precautions implemented? Hypertensive precautions Infection precautions Neutropenic precautions Seizure precautions Seizure precautions What are common precipitating factors of hypoglycemia? Select all that apply. Hemodialysis Missing meals or snacks Excessive insulin Wrong type of insulin Missing meals or snacks, E