Basics Ch. 41 PrepU Questions With Complete Solutions The nurse is teaching a healthy adult client about adequate hydration. How much average daily intake does the nurse recommend? 3,500 mL/day 1,000 mL/day 2,500 mL/day 1,500 mL/day hhCorrect Answers hh2,500 mL/day What is the lab test co mmonly used in the assessment and treatment of acid -base balance? Arterial blood gas Basic metabolic panel Urinalysis Complete blood count hhCorrect Answers hhArterial blood gas A client has been receiving intravenous (IV) fluids that contain potassium. The IV site is red and there is a red streak along the vein that is painful to the client. What is the priority nursing action? Slow the rate of IV fluids. Elevate the arm. Apply a warm compress. Remove the IV. hhCorrect Answers hhRemove the IV. When caring for a client who is on intravenous therapy, the nurse observes that the client has developed redness, warmth, and discomfort along the vein. Which intervention should the nurse perform for this complication? Position the client on the left sid e. Restart infusion in another vein and apply a warm compress. Apply antiseptic and a dressing. Elevate the client's head. hhCorrect Answers hhRestart infusion in another vein and apply a warm compress. What is the priority goal for the activity in which th e nurse is engaging, related to the administration of a prescribed IV solution? To demonstrate effective nursing care in the administration of the prescribed IV solution To assure effective administration of the prescribed IV solution To provide for effec tive time management in the administration of the prescribed IV solution To assure the IV solution is appropriate for this administration hhCorrect Answers hhTo assure the IV solution is appropriate for this administration A client is admitted to the facili ty after experiencing uncontrolled diarrhea for the past several days. The client is exhibiting signs of a fluid volume deficit. When reviewing the client's laboratory test results, which electrolyte imbalance would the nurse likely to find? hypokalemia hyperchloremia hyperphosphatemia hypomagnesemia hhCorrect Answers hhhypokalemia A client with a diagnosis of colon cancer has opted for a treatment plan that will include several rounds of chemotherapy. What vascular access device is most likely to meet this client's needs? A peripheral venous catheter inserted to the cephalic vein A midline peripheral catheter A peripheral venous catheter inserted to the antecubital fossa An implanted central venous access device (CVAD) hhCorrect Answers hhAn implanted centra l venous access device (CVAD) A nurse is performing a venipuncture on an older client. The client has visible veins that appear to roll. What nursing technique is most appropriate? Consider venipuncture in the foot where veins are less visible. Use the client's nondominant hand to hold the vein in place. Select a large -gauge needle. Avoid use of a tourniquet. hhCorrect Answers hhAvoid use of a tourniquet. During a blood transfusion of a client, the nurse observes the appearance of rash and flushin g in the client, although the vital signs are stable. Which intervention should the nurse perform for this client first? Administer oxygen. Infuse saline at a rapid rate. Stop the transfusion immediately.
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