NUR 2392 LATEST 2024/2025
MULTIDIMENSIONAL CARE 2 WITH
QUESTIONS AND DETAILED ANSWERS
A+GRADED
A nurse is caring for client who is postoperative following abdominal surgery. Which of
the following findings would indicate to the nurse that the client's peristalsis returning?
Passage of flatus
A medication order states, administer 100 mEq of potassium chloride PO twice a day.
Available is potassium chloride oral solution 40 mEq/15Ml. How many ml should the
nurse administer per dose?
37.5
Which laboratory report is of the highest concern for the nurse to monitor for a client
with bone marrow suppression receiving chemotherapy?
White blood cell (WBC) count
The nurse would incorporate which of the following into the plan of care as a primary
prevention strategy for reduction of the risk for cervical cancer?
Administering the human papillomavirus (HPV) vaccine
The graduate nurse is caring for a child with suspected appendicitis. What intervention by
the graduate nurse would be inappropriate or contraindicated in the care of this client?
Contacting the health care provider immediately if the client reports sudden relief of
pain
The nurse is caring for a client with a new diagnosis of adrenal insufficiency. Which of the
following would the nurse expect upon assessment?
Hypotension, Hyperpigmentation, Hyperkalemia
,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
Condition in the intestines from irritable bowel
syndrome. The client's symptoms have now resolved, and the client asks, "When can I
stop taking these medications? How would the nurse respond?
You start corticosteroids, you must be tapered off the medication
A nurse is caring for a client admitted for an exacerbation of Crohn's disease. A
nasogastric (NG) tube has been placed and is connected to suction, and the client is
currently receiving an infusion of total parental nutrition via a peripherally inserted
central catheter (PICC) line. Which of the following actions should the nurse take?
Monitor laboratory values and assess for abdominal respiratory or cardiac
functioning
A nurse is caring for an adolescent client who has a long history of diabetes mellitus
and is being admitted to the emergency department confused, flushed, and with an
acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should
anticipate using which of the following types of insulin to be given intravenously to treat
this client?
Regular insulin
, A nurse is reviewing lab values for a client and notes a potassium level of 2.3 mEq/L.
What is the nurse's priority?
Assess the client cardiovascular status
After completing external radiation treatment for cancer, a client tells the oncology
nurse about an upcoming vacation to the beach to celebrate. What response by the nurse
is most appropriate to the client?
Protect your skin, avoid exposure of the radiation area to direct sunlight
The nurse is caring for a diabetic client with a blood glucose of 56mg/dl. The client is
difficult to arouse. What action would the nurse take?
Administer 50% dextrose (D50) IV push per order and monitor the client
A client was admitted with the following arterial blood gas (ABG).
PH 7.44
PaC02 50MM Hg
Hc03 32 mEq/l
Pa02 90MM Hg
How does the nurse interpret these results?
Metabolic alkalosis with full respiratory compensation
A client was admitted with the following arterial blood gas (ABG). How does the nurse
interpret these results?
PH 7.35
PaC02 30 MM Hg
Hc03 17 mEq/L
Pa02 92 mm Hg
Metabolic acidosis with full respiratory compensation
A client was admitted with the following arterial blood gas (ABG). How does the nurse
interpret these results?
PH 7.45
PaCO2 29 MM Hg
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