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CASAL 2 PreAssessment – Questions With A+ Solutions
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CASAL 2 PreAssessment – Questions With A+ Solutions
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CASAL 2 PreAssessment – Questions With A+ SolutionsThe nurse is assisting a client out of bed for the first time after surgery.
What action should the nurse do first?
A) Place a chair at a right angle to
the bedside.
B) Encourage deep breathing prior
to standing.
C) Help the client to sit and dangle
legs on the side of the bed.
D) Allow the client to sit with the bed
in a high Fowler's position. Right Ans - D) Allow the client to sit with the
bed in a high
Fowler's position.
The first step is to raise the head of the bed to a high Fowler's position (D),
which allow venous
return to compensate from lying flat and
vasodilating effects of perioperative drugs. (A,
B, and C) are implemented after (D).
The healthcare provider prescribes thiamine HCL 0.03 grams IM TID for a
client with beriberi. Thiamine is available for injection 100 mg/ml. The nurse
should prepare to administer how many mi? (Enter
numeric value onlv. If roundina is required, round to the nearest tenth.)
Right Ans - 0.3ml
Using the known conversion: 1 gram = 1000 mg
as 0.03 gram = 30 mg
Next, using the Desired / Have x1 ml formula:
30 mg / 100 mg x 1 ml = 0.3 ml
Which signs and symptoms are associated with arterial insufficiency?
A. Pallor, intermittent claudication.
B. Pedal edema, brown pigmentation.
C. Peripheral neurgpathy, cold extremities.
D. Blanched skin, lower extremity ulcers. Right Ans - A. Pallor, intermittent
claudication
,Pallor and intermittent claudication are signs
related to stage II of PVD, which results in
arterial insufficiency. Arterial insufficiency
causes impaired perfusion resulting in hypoxic
pain or intermittent claudication (pain in legs
when working out be not enough blood flow)
- Pedal edema, brown pigmentation are signs
related to venous insufficiency
- Blanched skin, lower extremity ulcers are not
specific to arterial disease
- Peripheral neuropathy may be related to
complications of diabetes mellitus resulting in
poor circulation
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin Il
receptor blocker (ARB), for a client with hypertension and heart failure. The
nurse reviews the client's laboratory results and notes that the client's serum
potassium level is 5.9 mEg/L. What action should the nurse take first?
A) Withhold the scheduled dose.
B) Check the client's apical pulse.
C) Notify the healthcare provider.
D) Repeat the serum potassium level. Right Ans - A) Withhold the
scheduled dose.
The nurse should first withhold the scheduled
dose of Cozaar (A) because the client is
hyperkalemic (normal range 3.5 to 5 mEq/L).
Although hypokalemia is usually associated with
diuretic therapy in heart failure, hyperkalemia is
associated with several heart failure
medications, including ARBs.
- Because hyperkalemia may lead to cardiac dysrhythmias, the nurse should
check the apical pulse for rate
and rhythm (B), and the blood pressure. Before
repeating the serum study (D), the nurse should
notify the healthcare provider (C) of the
, findings.
A client receives a prescription for an intravenous infusion of Dextrose 5% in
0.45% Sodium chloride (D= 1/2 NS) 500 ml to be infused over 6 hours. The
nurse should program the infusion pump to deliver how
many mi/hour? (Enter numeric value only. If rounding is required, round to
the nearest whole number.) Right Ans - 83 ml/hr
500ml / 6hrs = 83ml/hr
Miotic drug therapy for the treatment of glaucoma is based chiefly upon which
physiologic action?
A. Inhibiting aqueous humor production.
B. Preventing extraocular infection.
C. Maintaining intraocular pressure.
D. Enhancing aqueous humor outflow. Right Ans - D. Enhancing aqueous
humor outflow.
The nurse is completing an admission interview and assessment on a client
with a history of Parkinson's disease. Which question provides information
relevant to the client's plan of care?
A. "Have you ever experienced any paralysis of your arms or legs?"
B. "Have you ever been "frozen' in one spot, unable to move?"
C. "Have you ever sustained a severe head injury?"
D. "Do you have headaches, especially ones with throbbing pain?" Right
Ans - B. "Have you ever been "frozen' in one spot, unable to move?"
What assessment finding should the nurse identify in a client with fluid
volume excess?
A. Elevated blood pressure.
B. Flushed skin.
C. Dry mucous membranes.
D. Weak, thready pulse. Right Ans - A. Elevated blood pressure
A 58-year-old client, who has no health problems, asks the nurse about the
Pneumovax vaccine. The nurse's response to the client should be based on
which information?
A) The immunization is administered once to older adults or persons with a
history of chronic illness.
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