NUR 233 Exam 2 Practice Questions And Verified Correct Answers.
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Course
NUR 233
Institution
NUR 233
To promote airway clearance in the patient with pneumonia, what should the nurse instruct the patient to do? (Select all that apply.) - Answer Cough with expectoration
Maintain adequate fluid intake
Splint the chest when cough
The nurse is planning the care of a client diagnosed with pneumo...
NUR 233 Exam 2 Practice Questions
And Verified Correct Answers.
To promote airway clearance in the patient with pneumonia, what should the nurse instruct the patient
to do? (Select all that apply.) - Answer Cough with expectoration
Maintain adequate fluid intake
Splint the chest when cough
The nurse is planning the care of a client diagnosed with pneumonia and writes a problem of "impaired
gas exchange." Which is an expected outcome for this problem? - Answer Alert and oriented to person,
place, time, and events.
A patient with chronic obstructive pulmonary disease (COPD) is prescribed O2 at 24% FIO2. What is the
most appropriate oxygen delivery method for this patient? - Answer Venturi mask
Clinical assessment of dehydration would be confirmed if you identified: - Answer Dry mucous
membranes
In a patient with prolonged vomiting, the nurse monitors for fluid volume deficit because vomiting
results in... - Answer Fluid movement from the cells into the interstitial space and the blood vessels
A patient comes to the clinic complaining of frequent, watery stools for the past 2 days. Which action
should the nurse take first? - Answer Check the patient's blood pressure.
An older patient receiving iso-osmolar continuous tube feedings develops restlessness, agitation, and
weakness. Which laboratory result should the nurse report to the health care provider immediately? -
Answer Na+ 154 mEq/L (154 mmol/L)
Implementation of nursing care for a patient with hyponatremia includes... - Answer Fluid restriction
,The nurse is caring for a patient with a medical diagnosis of hypernatremia. The following orders are
written in the client's electronic health record. Which one should the nurse question? - Answer Restrict
oral intake to 900 mL every 24 hr
IV potassium chloride (KCl) 60 mEq is prescribed for treatment of a patient with severe hypokalemia.
Which action should the nurse take? - Answer Infuse the KCl at a rate of 10 mEq/hour.
The nurse is caring for a patient with a potassium level of 2.8 mEq/L. Which assessment change related
to this is most concerning? - Answer The patient feels palpitations and has an irregular pulse
A client with a cardiac history is taking a potassium-wasting diuretic (furosemide) and is seen in the
emergency department for complaints of weakness. You expect to evaluate which laboratory values? -
Answer Potassium and blood glucose
After receiving change-of-shift report, which patient should the nurse assess first? - Answer Patient
with serum magnesium level of 1.1 mEq/L who has tremors and hyperactive deep tendon reflexes
A patient has a magnesium level of 1.3 mg/dL. Which assessment would help the nurse identify a likely
cause of this value? - Answer Low - Daily alcohol intake
High - Dietary protein intake
It is important for the nurse to assess for which clinical manifestation(s) in a patient who has undergone
a total thyroidectomy - Answer Positive Chvostek's sign
The nurse is reviewing a client's laboratory report and notes that the total serum calcium level is 6.0
mg/dL (1.66 mmol/L). The nurse understands that which condition most likely caused this serum calcium
level? - Answer Prolonged bed rest
A patient has a serum calcium level of 7.0 mEq/L. Which assessment finding is most important for the
nurse to report to the health care provider? - Answer The patient is experiencing stridor
The nurse is assessing a patient with a positive Chvostek's sign. Which actions are a priority? Select all
that apply. - Answer Request a soft diet
, Evaluate the phosphorus level
Assess for thrombosis and clots
The nurse is caring for a patient with a potassium level of 6.0 mEq/L. What is the nurse's priority action?
- Answer Place the patient on a cardiac monitor
The nurse working in the heart failure clinic will know that teaching for a 74-year-old patient with newly
diagnosed heart failure has been effective when the patient - Answer calls the clinic when the weight
increases from 124 to 130 pounds in a week.
Should be weighing themselves every day
You are assessing a patient suspected of having right-sided heart failure. What assessment finding may
indicate right-sided heart failure? - Answer Distended neck veins
The nurse is assessing a patient who is suspected to have left-sided heart failure. Which assessment
provides specific information regarding the left-sided heart function? - Answer Auscultating lung
sounds
The nurse is assessing a client newly diagnosed with mild hypertension. Which assessment finding
should the nurse expect? - Answer Asymptomatic until target organ damage occurs
A client has been experiencing difficulty with completion of daily activities because of underlying
cardiovascular disease, as evidenced by exertional fatigue and increased blood pressure. Which
observation by the nurse best indicates client progress in meeting goals for this problem? - Answer
Ambulates 10 feet (3 meters) farther each day
The nurse is providing instructions to a client with a diagnosis of hypertension regarding high-sodium
items to be avoided. The nurse instructs the client to avoid consuming which item? - Answer Antacids
The nurse is planning to teach a client with peripheral arterial disease about measures to limit disease
progression. Which items should the nurse include on a list of suggestions for the client? Select all that
apply. - Answer Be careful not to injure the legs or feet
Walking
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