NUR 2571 Rasmussen PROFESSIONAL NURSING 2 Exam 1 Latest Update Questions and Verified Correct Answers Graded A+ A 10 year old with a history of recent respiratory indirection has swelling around the eyes in the morning and dark urine. What question should the nurse ask first?
- Has the child had a rash or fever
- Has the child had a sore throat
- Does the child have an allergies
- Does the child drink a lot of liquids - Correct Answer: Has the child had a sore throat
A client has renal colic due to renal lithium is. What is the nurse's priority in mana gaming care for this client?
- Administer an opioid analgesic as prescribed
- Do not allow the client to ingest fluids
- Request the control supply department to send supplies for straining urine
- Encourage the client to drink at least 500mL of water each hour - Correct Answer:
Administer an opioid analgesic as prescribed
A client has the following ABG results: pH 7.30, HCO3 17 mEq/L, PaCO2 25 mm Hg,
PO2 98 mm Hg. Which intervention by the nurse is not appropriate?
- Prepare to administer the ordered albuterol nebulizer treatment
- These are normal findings; document and continue to assess
- Place the client on 2L oxygen via nasal cannula
- Assess the client and notify the physician using SBAR communication - Correct
Answer: Assess the client and notify the physician using SBAR communication
A client has the following arterial blood gas (ABG) results: pH 7.30, HC03: 22 mEq/L, PaCO2: 67 mmHG, PaO2: 66 mmHg. Which intervention by the nurse takes priority?
- Administer mucolytic
- Provide oxygen via nasal cannula
- Administer bronchodilator
D. Assess the client's airway - Correct Answer: D. Assess the client's airway
A client is admitted to the emergency room with a respiratory rate of 6 breaths/min.ABGs have been drawn and reveal the following values: pH 7.22, PaCO2: 68a mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate analysis of these ABGs?
- Partially compensated metabolic alkalosis
- Partially compensated respiratory alkalosis
- Uncompensated respiratory alkalosis
d. Uncompensated metabolic acidosis - Correct Answer: Uncompensated metabolic
acidosis 1 / 2
A client is receiving 250mL of 3% sodium chloride solution intravenously for severe hyponatermia. Which signs or symptoms indicate to the nurse that this therapy is effective?
- Bowel sounds are present in all four abdominal quadrants
- Blood pressure has increased from 100/50 mm Hg to 112/70 mm Hg
- The client reports hand swelling
- Serum potassium level has decreased from 4.4 mEq/L to 4.2 mEq/L - Correct
Answer: Blood pressure has increased from 100/50 mm Hg to 112/70 mm Hg
A client with a calcium level of 14 mg/dL is being cared for on the medical unit. Nursing actions included in the care plan will include which of the following?
- Auscultating lung sounds every 4 hours
- Maintaining the client on bed rest
- Monitoring for bounding pulses
- Provide continuous IV fluid infusion as ordered - Correct Answer: Provide continuous
IV fluid infusion as ordered.
A client with a serum sodium level of 113 mEq/L has been receiving 3% sodium chloride IV infusion at 50mL/hr for 16 hours. The client feels tired and short of breath.Which of the following is a priority?
- Notify the physician
- Obtain order to decrease infusion
- Assess for signs of fluid overload
- Check the latest sodium levels - Correct Answer: Assess for signs of fluid overload
A client with renal failure who has been taking aluminum hydroxide/magnesium hydroxide suspension at home for indigestion is somnolent and has decreased deep tendon reflexes. Which action should the nurse take first?
- Notify the client's health care provider
- Check the chart for the most recent (blood urea nitrogen) BUN and creatinine levels
- Administer magnesium IV replacement as ordered
- Review the magnesium level on the client's chart - Correct Answer: Check the chart
for the most recent (blood urea nitrogen) BUN and creatinine levels
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which the priority when working as a professional nurse?
- Not making medication errors
- Providing client-focused care
- Attending to holistic client needs
- Ensuing client safety - Correct Answer: Ensuring client safety
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