NURS 3632 Exam 3 Questions And Answers Graded A+.
A client who is recovering from surgery has been advanced from a clear liquid diet to a full liquid diet. The client is looking forward to the diet change because he has been "bored" with the clear liquid diet. The nurse would offer which f...
A client who is recovering from surgery has been advanced from a clear liquid diet to a
full liquid diet. The client is looking forward to the diet change because he has been
"bored" with the clear liquid diet. The nurse would offer which full liquid item to the
client?
A patient on a clear liquid diet is asking for something more. Of the available options,
which is appropriate? Select all that apply.
a. Chicken broth
b. Chicken noodle soup
c. Popsicles
d. Jello
e. Coffee with cream
f. Grape juice - correct answer.a. Chicken broth
c. Popsicles
d. Jello
A patient is NPO after midnight for a surgical procedure. Which statement if made by
the patient, indicates further teaching for instruction?
a. I can only have sips of water after midnight
b. I can take nothing at all by mouth after midnight
c. If the doctor orders it, I can take my oral meds with just a sip of water after midnight
d. My stomach and bowels will actually be affected by the anesthesia, just like my
consciousness will - correct answer.a. I can only have sips of water after midnight
The nurse is making initial rounds on the nursing unit ti assess the condition of an
assigned client. The nurse notes that a client's IV site is cool, pale, and swollen, and the
,solution is not infusing. The nurse concludes that which of the following complications
has occurred?
The patient has 20 mg furosemide ordered IV. Before giving it, the nurse checks on the
latest K+ values, knowing that furosemide is a loop diuretic and will decrease potassium
significantly. What is the minimum value that the nurse will give medication without
notifying the physician of hypokalemia? (mEq/L)
A. 3.4
B. 4.1
C. 4.5
D. 5.2 - correct answer.B. 4.1 mEq/L
A patient has been admitted with dehydration secondary to N/V/D after salmonella
infection. The nurse expects an isotonic IV solution to be ordered. Which of the
following are isotonic? SATA (table 40-7)
a. NS
b. D5W
c. D5RL
d. Lactated Ringer
e. D5NS - correct answer.a. NS
b. D5W
d. Lactated Ringer
A patient is in the ICU and has the following blood gases. ABGs: pH 7.32, PCo2 46,
HCO3 25. How should this be categorized?
a. Metabolic Acidosis
b. Metabolic Alkalosis
c. Respiratory Acidosis
d. Respiratory Alkalosis - correct answer.c. Respiratory Acidosis
What are the causes of respiratory acidosis?
a. decreased respiratory rate
b. increased respiratory rate
c. diarrhea for several days
d. vomiting or gastric suction - correct answer.a. decreased respiratory rate
,A patient with vomiting from early pregnancy has been admitted. She is quite
dehydrated. Her electrolytes and ABGs were drawn to determine her status and fluid
needs. The values are listed below. Which electrolytes are out of normal range, and
what is the acid-base status?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
List the abnormal values
a. metabolic alkalosis
b. metabolic acidosis
c. respiratory acidosis
d. respiratory alkalosis - correct answer.Abnormal values: Na 129, K+ 3.4, all ABGs (all
except Mg)
a. metabolic alkalosis
A patient with vomiting from early pregnancy has been admitted. She is quite
dehydrated. Her electrolytes and ABGs were drawn to determine her status and fluid
needs. The values are listed below. What IV fluids might be anticipated?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
a. 1/2 NS at 100 ml/hr
b. D5W at 100 ml/hr
c. D5RL at 100 ml/hr
d. NS with 20 mEq KCL at 100 ml/hr - correct answer.D. NS with 20 mEc KCL at 100
ml/hr
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
What is going on here?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis - correct answer.B. metabolic alkalosis
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
, The respiratory is starting to compensate because the pCO2, which is an acid, is also
high. When metabolic alkalosis is fully compensated, which values might we see in this
patient?
a. pH 7.45; pCO2 49; HCO3 32
b. pH 7.35; pCO2 45; HCO3 26
c. pH 7.34; pCO2 47; HCO3 21
d. pH 7.46; pCO2 47; HCO3 27 - correct answer.a. pH 7.45; pCO2 49; HCO3 32
Arterial blood gases on a client with pneumonia indicate the client is in respiratory
acidosis. In order to best improve this acid-base imbalance, the nurse implements which
of the following interventions? Select all that apply.
1. Restrict oral fluid intake to water only
2. Ambulate client in hallways twice a shift
3. Encourage frequent cough and deep breathing exercises
4. Medicate with nonopiate pain medication frequently for intercostal muscle pain
5. Give magnesium - correct answer.3. Encourage frequent cough and deep breathing
exercises
4. Medicate with nonopiate pain medications frequently for intercostal muscle pain
Which of the following arterial blood gases (ABGs) would the nurse expect to see when
a client has apnea and develops acidosis?
A client admitted to the emergency department with chest injuries following a motor
vehicle accident complains that it hurts to breathe. The client's respiratory rate is 12 and
very shallow. The nurse would anticipate which of the following results on the ABGs?
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