NS 233 Exam 2 Latest Update 2024-2025 Actual Exam from Credible Source with 60 Questions and 100% Verified Detailed Correct Answers Guaranteed
A 71-year-old patient with Alzheimer's Disease (AD) who is being admitted to a long- term care facility has had several episodes of wandering away form home. Which action will the nurse include in the plan of care? - CORRECT ANSWER: place the patient in a room close to the nurses' station
A common collaborative problem related to both hyperkalemia and hypokalemia is
which potential complication? - CORRECT ANSWER: dysrhythmias
A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at work." Which response by the nurse is best? -
CORRECT ANSWER: Epilepsy usually can be well controlled with medications
A long-term care patient with moderate dementia develops increased restlessness and
agitation. The nurse initial action should be to? - CORRECT ANSWER: assess for
factors that might be causing discomfort
A nurse is admitting a client who reports nausea, vomiting, and weakness. The client has dry oral mucous membranes. Which of the following findings should the nurse
identify as manifestations of fluid volume deficit? - CORRECT ANSWER: decreased
skin turgor, concentrated urine
A nurse is admitting an older adult client who is experiencing dyspnea, weakness, weight gain of 2lb, and 1+ bilateral edema of the lower extremities. The client has a temperature of 37.2 °C, pulse of 96 beats per minute, 26 respirations per minute, oxygen saturation of 94% on 3L via nasal cannula, and blood pressure of 152/96. Which of the following manifestations of fluid volume excess should the nurse expect? - CORRECT ANSWER: dyspnea, edema, hypertension, weakness 1 / 2
A nurse is assessing a client for Trousseau's sign. Which of the following techniques
should the nurse use to perform this test? - CORRECT ANSWER: apply a blood
pressure cuff to the patients arm
A nurse is assessing a client who is dehydrated for fluid volume deficit. Which of the
following findings should the nurse expect in the client? - CORRECT ANSWER:
tachycardia
A nurse is caring for a client who has a nasogastric tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalances? -
CORRECT ANSWER: hyponatremia
A nurse is caring for a client who has a serum potassium of 5.4 mEq/L. The nurse
should assess for which of the following manifestations? - CORRECT ANSWER: ECG
changes
A nurse is caring for a client who has a serum sodium level of 133 mEq/L and serum potassium level of 3.4 mEq/L. The nurse should recognize that which of the following
treatments can result in these laboratory findings? - CORRECT ANSWER: three tap
water enemas
A nurse is caring for a patient with increased intracranial pressure. Which action is
considered unsafe? - CORRECT ANSWER: withholding sedative and analgesic
medications
A nursing measure that is indicated to reduce the potential for seizures and increased intracranial pressure in the patient with bacterial meningitis is? - CORRECT ANSWER: controlling fever with prescribed drugs and cooling techniques
A patient has a tonic-clonic seizure while the nurse is in the patient's room. Which action should the nurse take? - CORRECT ANSWER: time and observe and record the details of the seizure and postictal state
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