NUR 2392 Final Exam Multidimensional Care II MDC 2 – Rasmussen
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After chemotherapy for cancer, a client develops chemotherapy induced nauseas and vomiting (CINV). For this client the nurse should give the highest priority to which action in the plan of care?• Administering an antiemetic medication as prescribed
The nurse is providing care for a client diagnosed with fluid-volume deficit. Which of the following assessment data is of greatest concern?• The blood pressure 84/40 mm Hg
A client underwent a colon resection with colostomy placement. Which of the following would the surgeon consult post-operatively for colostomy management?• Wound Ostomy continence nurse
A client assessment reveals fatigue, poor memory, and weight gain. The lab results reveal elevated thyroid-stimulating hormone (TSH) and decrease T3 and T4 levels. The nurse knows that these are manifestations of which disorder.• Hypothyroidism
The nurse knows which statement is true about age-related changes and the endocrine system in older adults?• Thyroid hormone secretion decrease 1 / 3
A nurse assesses a client who is recovering from an ileostomy placement. Which clinical manifestation would contact the health care provider urgently?• A bluish stoma
A nurse cares for a dying client. Which manifestation of active dying would the nurse treat first?• Pain
A nurse is caring for a client with an opioid overdose. The client is difficult to arouse. The vital signs include blood pressure 90/60mm Hg. Respirations 10/minute heart rate 60 beats/minute. The arterial blood gas (ABG) results include a PH 7.34, PaCo2 48 mm Hg.Hc03 24Meq/l, Pa02 of 76 mm Hg. How would the nurse interpret these results?• Respiratory acidosis not compensated with hypoxemia
An 8-month-old infant hospitalized with severe diarrhea. The nurse knows that which of the following is the major problem associated with severe diarrhea?• Electrolyte and fluid loss
The nurse is evaluating the serum laboratory results on the following four clients. Which of the following clients would the nurse assess first?• A client admitted with abdominal pain and vomiting with a potassium level of 2.8 mEq/L
The nurse is assessing a client that displays a positive Chvostek's sign. Which of the following is this assessment finding a clinical manifestation of?• Hypocalcemia 2 / 3
A nurse is planning to educate a client diagnosed with fluid volume overload. Which of the following would the nurse educate the client to determine gains and losses in fluid?• Monitor daily weights
Which of the following is a life-threatening emergency and serious complication of untreated or poorly treated hypothyroidism?• Myxedema coma
A nurse is caring for a client recently diagnosed with cirrhosis. Which of the following are appropriate nursing interventions for this client?• Pain management
• Monitor lab values
Which nursing intervention helps to prevent adrenocortical insufficiency?• Reducing high-dose steroid therapy gradually
A nurse is providing care to a client that is diagnosed with hypokalemia. After reviewing the client's current medications. Which of the following might have contributed to hypokalemia?• Loop diuretics
A nurse is providing teaching to a client about hyperglycemia. The nurse should recognize that the client understands the teaching when he identifies which of the following as a manifestation specific to hyperglycemia?• Polyuria, Polydipsia, Polyphagia
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