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ABS H/I Week 2 & 3 Combined Questions With Complete Solutions
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ABS H/I Week 2 & 3 Combined Questions With CompleteSolutions
A 28 year old married female patient with cystitis requires
instruction about how to prevent future UTIs, and you have
delegated this teaching to a newly-graduated RN. Which
statement by the new nurse requires that you intervene?
A. You should always drink 1-3 L of fluid every day
B. Empty your bladder regularly even if you do not feel the urge
to urinate
C. Drinking cranberry juice daily will decrease the number of
bacteria in your bladder
D. Its okay to soak in the tub with bubbly bath because it will
keep you clean Correct Answer D. Its okay to soak in the tub
with bubbly bath because it will keep you clean
A 36 year old female, who is 29 weeks pregnant, reports she is
experiencing burning when voiding. The physician orders a
urinalysis. Which statement by the patient demonstrates she
understands how to collect the specimen?
A. "I'll hold the cup firmly against the urethra while collecting
the sample."
B. "I will cleanse back to front with the antiseptic wipe before
peeing in the cup."
C. "First, I will pee a small amount of urine in the toilet and then
collect the rest in the cup."
D. "I will be sure to drink a lot of fluids to keep the urine diluted
before peeing into the cup." Correct Answer C. "First, I will
pee a small amount of urine in the toilet and then collect the rest
in the cup."
,A 76 year old female is admitted due to a recent fall. The patient
is confused and agitated. The family members report that this is
not normal behavior for the patient. They explain that the patient
is very active in the community and cares for herself. Based on
the information you have gathered about the patient, which
physician's order takes priority?
A. "Collect a urinalysis"
B. "Collect a T3 and T4 level"
C. "Insert a Foley Catheter"
D. "Keep patient NPO" Correct Answer A. "Collect a
urinalysis"
A client is admitted to the unit with a diagnosis of SIADH. For
which electrolyte abnormality would you be sure to monitor?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypernatremia Correct Answer C. Hyponatremia
SIADH causes relative sodium deficit due to excessive retention
of water. Also Addision's disease (Low aldosterone)
*** Hypernatremia = Cushing syndrome (high cortisol) and
Conn's syndrome (excess aldosterone)
A client's nursing diagnosis is Deficient Fluid Volume related to
excessive fluid loss. Which action related to the fluid
management
should be delegated to a nursing assistant?
A. Administer IV fluids as prescribed by the physician.
B. Provide straws and offer fluids between meals.
,C. Develop plan for added fluid intake over 24 hours
D. Teach family members to assist client with fluid intake
Correct Answer B. Provide straws and offer fluids between
meals.
A client's potassium level is 6.7 mEq/L. Which intervention
should you delegate to the first-year student nurse whom you are
supervising?
A. Administer sodium polystyrene sulfonate (Kayexalate) 15 g
orally.
B. Administer spironolactone (Aldactone) 25 mg orally.
C. Assess the electrocardiogram (ECG) strip for tall T waves.
D. Administer potassium 10 mEq orally. Correct Answer A.
Administer sodium polystyrene sulfonate (Kayexalate) 15 g
orally.
Insulin is often used.
A nurse is inserting an indwelling urinary catheter into a female
client. Which interventions should be implemented? Rank in the
order of performance.
1. Explain the procedure to the client
2. Set up the sterile field
3. Inflate the catheter bulb
4. Place the absorbent pads under the client
5. Clean the perineum from clean to dirty w ith Betadine
Correct Answer 1, 4, 2, 3, 5
A patient has a calcium level of 12.5. Which medication will
most likely be ordered for this patient?
A. Calcium Chloride
, B. 10% Calcium Gluconate
C. Calcitonin
D. Hydrochlorothiazide Correct Answer C. Calcitonin
A patient has a calcium level of 7.2. What sign below is
indicative of this lab value?
A. None this is a normal calcium level
B. Shortened ST segment
C. Hypoactive bowel sounds
D. Prolonged QT interval on the EKG Correct Answer D.
Prolonged QT interval on the EKG
A patient has a Magnesium level of 1.3. Which of the following
is NOT a sign or symptom of this condition?
A. Tall T-wave and depressed ST segment
B. Torsades de pointes
C. Positive Trouesseau's and Chvostek's
D. Absent deep tendon reflexes Correct Answer D. Absent
deep tendon reflexes
A patient has a potassium level of 2.0. What would you expect
to be ordered for this patient?
A. Potassium 30 meq IV push
B. Infusion of Potassium intravenously
C. An oral supplement of potassium
D. Intramuscular injection of Potassium Correct Answer B.
Infusion of Potassium intravenously
A patient has a potassium level of 9.0. Which nursing
intervention is priority?
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