NSG Quality and Safety Exam 3 Questions And 100% Accurate Answers.
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Course
NSG550/ NSG 550
Institution
NSG550/ NSG 550
The nurse is reviewing a patient's intake and output. During the time period from the patient had the following intake and output: Two 16 oz bottles of water, one 8 oz. cup of coffee, 3 T. of antacid, three 6 oz. cups of ice. Calculate input in mL.The family reports emptying the urinal measuring 8...
NSG Quality and Safety Exam 3
Questions And 100% Accurate Answers.
The nurse is reviewing a patient's intake and output. During the time period from 0700-1500 the patient
had the following intake and output: Two 16 oz bottles of water, one 8 oz. cup of coffee, 3 T. of antacid,
three 6 oz. cups of ice. Calculate input in mL.The family reports emptying the urinal measuring 8.5 oz., 18
oz., & 9 oz. The nurse emptied the bedside commode of 650 mL of diarrhea twice during the shift. The
patient has a chest tube that has 55 mL of drainage in the collection chamber. Calculated output in mL.
Based on the calculation, which fluid imbalance is the patient at risk for developing?
a. fluid volume overload
b. dehydration
c. hypovolemia
d. fluid volume excess - Answer b. hydration
A patient receiving nasogastric suctioning is experiencing diarrhea. The patient is prescribed a morning
dose of intravenous furosemide (Lasix) 20mg and the most recent serum potassium level is 3.0 mEq/L.
What is the next nursing intervention?
a. Withhold giving the furosemide notify the healthcare provider for further orders
b. Administered the furosemide and notify the healthcare provider for further orders
c. Turn off the nasogastric suctioning and administered a laxative
d. No intervention is needed because the potassium level is within normal range - Answer The correct
answer is A. Furosemide (Lasix) is a diuretic that removes extra fluid from the body. With the removal of
the extra fluid, the potassium level will decrease. The nurse needs to hold the morning dose and notify
the prescribing healthcare provider immediately for further instructions. The other answer choices
would not be correct or safe such as turning off the nasogastric suction, administering the medication, or
providing no intervention as these actions would cause continued potassium loss. The potassium level
should be between 3.5-5.5 mEq/L.
A patient recovering from surgery has a BP of 138/88 mm Hg, pulse 72 bpm; respiratory rate of 28
breaths/min; and temperature 103.2 F. The patient is also shivering and struggling to breath. Which
nursing actions are a priority?
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