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The nurse is assessing the client with an IV line. The nurse notes that the IV insertion site is ...
The nurse is assessing the client with an IV line. The nurse notes that the IV insertion site is ...
The nurse is assessing the client with an IV line. The nurse notes that the IV insertion site is red, edematous, and painful. The nurse's first action should be to:
 
  1. Immediately discontinue the IV line and remove the cannul
posiodensgurl   38   1 Reply
6 years ago
Which of the following clients is most at risk for fluid volume deficit? 1. 25-year-old male ...
Which of the following clients is most at risk for fluid volume deficit? 1. 25-year-old male ...
Which of the following clients is most at risk for fluid volume deficit?
 
  1. 25-year-old male near-drowning victim
  2. 56-year-old woman with salicylate poisoning
  3. 45-year-old woman with second-degree
Ahmedempty   49   1 Reply
6 years ago
A 66-year-old female client is admitted to the hospital with diabetic ketoacidosis. The client has a ...
A 66-year-old female client is admitted to the hospital with diabetic ketoacidosis. The client has a ...
A 66-year-old female client is admitted to the hospital with diabetic ketoacidosis. The client has a running IV line through which she receives her medications and fluid maintenance.
 
  Which of the following would not be counte
ktrcathy   62   1 Reply
6 years ago
The nurse is caring for a 73-year-old female client who is 3 days postoperative for a bowel ...
The nurse is caring for a 73-year-old female client who is 3 days postoperative for a bowel ...
The nurse is caring for a 73-year-old female client who is 3 days postoperative for a bowel ob-struction.
 
  The nurse knows that the stress response of surgery causes fluid-balance changes in the second to fifth postoperative d
Evan1212   40   1 Reply
6 years ago
Which of the following clinical assessment findings is most likely seen in a client experiencing ...
Which of the following clinical assessment findings is most likely seen in a client experiencing ...
Which of the following clinical assessment findings is most likely seen in a client experiencing partial-thickness burns over 35 of the body as a result of hyponatremia?
 
  1. Dry, sticky tongue
  2. Increased anxiety
KarineShine   46   1 Reply
6 years ago
Which of the following foods will have the greatest impact on the blood-clotting mechanism of the ...
Which of the following foods will have the greatest impact on the blood-clotting mechanism of the ...
Which of the following foods will have the greatest impact on the blood-clotting mechanism of the person consuming it?
 
  1. A pickle
  2. A banana
  3. A milkshake
  4. A spinach salad
meknow   35   1 Reply
6 years ago
Which of the following foods will have the greatest impact on the neurochemical activity of the ...
Which of the following foods will have the greatest impact on the neurochemical activity of the ...
Which of the following foods will have the greatest impact on the neurochemical activity of the person consuming it?
 
  1. A pickle
  2. A banana
  3. A milkshake
  4. A spinach salad
Uyentrinh21   56   1 Reply
6 years ago
Which of the following foods will have the greatest impact on the heart's conductivity of the ...
Which of the following foods will have the greatest impact on the heart's conductivity of the ...
Which of the following foods will have the greatest impact on the heart's conductivity of the person consuming it?
 
  1. A pickle
  2. A banana
  3. A milkshake
  4. A spinach salad
deatk85   55   1 Reply
6 years ago
Which of the following clients is at greatest risk for insensible water loss? 1. A 37-year-old ...
Which of the following clients is at greatest risk for insensible water loss? 1. A 37-year-old ...
Which of the following clients is at greatest risk for insensible water loss?
 
  1. A 37-year-old with a superficial burn to the left hand
  2. A 15-year-old experiencing an asthmatic attack
  3. A 50-year-ol
meknow   43   1 Reply
6 years ago
A client is prescribed 3 sodium chloride, which is a hypertonic solution. The nurse recognizes the ...
A client is prescribed 3 sodium chloride, which is a hypertonic solution. The nurse recognizes the ...
A client is prescribed 3 sodium chloride, which is a hypertonic solution. The nurse recognizes the primary goal of such intravenous therapy is to:
 
  1. Expand the volume of fluid in the vascular system
  2. Pull flui
reamanc20   57   1 Reply
6 years ago
The nurse recognizes that the client, based on the imbalance that is present, will require fluid ...
The nurse recognizes that the client, based on the imbalance that is present, will require fluid ...
The nurse recognizes that the client, based on the imbalance that is present, will require fluid re-placement with isotonic solution. One of the isotonic solutions that may be ordered by the health care provider is:
 
  1. 0.45 s
Anastasia26   54   1 Reply
6 years ago
In reviewing the results of the client's blood work, the nurse recognizes that the unexpected ...
In reviewing the results of the client's blood work, the nurse recognizes that the unexpected ...
In reviewing the results of the client's blood work, the nurse recognizes that the unexpected val-ue that should be reported to the health care provider is:
 
  1. Calcium 3.9 mEq/L
  2. Sodium 140 mEq/L
  3.
sfitz   39   1 Reply
6 years ago
A client is admitted to the hospital with a diagnosis of adrenal insufficiency. In preparing to ...
A client is admitted to the hospital with a diagnosis of adrenal insufficiency. In preparing to ...
A client is admitted to the hospital with a diagnosis of adrenal insufficiency. In preparing to complete the admission history, the nurse anticipates that the client will have experienced:
 
  1. Decreased muscle tone
 
jsutherland119   41   1 Reply
6 years ago
An IV solution of 125 mL is to be infused over a 1-hour period. A microdrip infusion set will be ...
An IV solution of 125 mL is to be infused over a 1-hour period. A microdrip infusion set will be ...
An IV solution of 125 mL is to be infused over a 1-hour period. A microdrip infusion set will be used. The nurse calculates the infusion rate as:
 
  1. 32 gtt/min
  2. 60 gtt/min
  3. 125 gtt/min
 
deatk85   63   1 Reply
6 years ago
The single best indicator of fluid status is the nurse's assessment of the client's: 1. Skin ...
The single best indicator of fluid status is the nurse's assessment of the client's: 1. Skin ...
The single best indicator of fluid status is the nurse's assessment of the client's:
 
  1. Skin turgor
  2. Intake and output
  3. Serum electrolyte levels
  4. Daily weight
posiodensgurl   41   1 Reply
6 years ago
For a client with a nursing diagnosis of excess fluid volume, the nurse is alert to which one of the ...
For a client with a nursing diagnosis of excess fluid volume, the nurse is alert to which one of the ...
For a client with a nursing diagnosis of excess fluid volume, the nurse is alert to which one of the following signs and symptoms?
 
  1. Weak, thready pulse
  2. Hypertension
  3. Dry mucous membranes
&n
sfitz   67   1 Reply
6 years ago
A client complains of a headache, nausea, and vomiting during a blood transfusion. Which one of the ...
A client complains of a headache, nausea, and vomiting during a blood transfusion. Which one of the ...
A client complains of a headache, nausea, and vomiting during a blood transfusion. Which one of the following actions should the nurse take immediately?
 
  1. Check the vital signs.
  2. Stop the blood transfusion.
danielarincon26   92   1 Reply
6 years ago
The nurse will be starting a new intravenous infusion and needs to select the site for the ...
The nurse will be starting a new intravenous infusion and needs to select the site for the ...
The nurse will be starting a new intravenous infusion and needs to select the site for the insertion. In selection of a site, the nurse should:
 
  1. Start with the most proximal site
  2. Look for hard, cordlike vein
Cookie12   49   1 Reply
6 years ago
The health care provider orders 1000 mL of D5LR with 20 mEq KCl to run for 8 hours. Using an ...
The health care provider orders 1000 mL of D5LR with 20 mEq KCl to run for 8 hours. Using an ...
The health care provider orders 1000 mL of D5LR with 20 mEq KCl to run for 8 hours. Using an infusion set with a drop factor of 15 gtt/mL, the nurse calculates the flow rate to be:
 
  1. 12 gtt/min
  2. 22 gtt/min
brigittmarie   36   1 Reply
6 years ago
A client experiences a loss of intracellular fluid. The nurse anticipates that the intravenous (IV) ...
A client experiences a loss of intracellular fluid. The nurse anticipates that the intravenous (IV) ...
A client experiences a loss of intracellular fluid. The nurse anticipates that the intravenous (IV) therapy that will be used to replace this type of loss is:
 
  1. 0.45 normal saline (NS)
  2. 10 dextrose
 
Squirrel   54   1 Reply
6 years ago
When an excess of body fluid exists in the intravascular compartment, all of the following signs can ...
When an excess of body fluid exists in the intravascular compartment, all of the following signs can ...
When an excess of body fluid exists in the intravascular compartment, all of the following signs can be expected except:
 
  1. Rales
  2. A bounding pulse
  3. Engorged peripheral veins
  4. An elev
breyia1006   48   1 Reply
6 years ago
A humidity tent is frequently used for infants and young children to liquefy secretions and help ...
A humidity tent is frequently used for infants and young children to liquefy secretions and help ...
A humidity tent is frequently used for infants and young children to liquefy secretions and help reduce a fever. The nurse knows that humidified air puts the client at risk for:
 
  1. Respiratory distress
  2. Infectio
deatk85   30   1 Reply
6 years ago
The nurse working on the pulmonary unit is asked to obtain an acid-fast bacillus (AFB) sputum ...
The nurse working on the pulmonary unit is asked to obtain an acid-fast bacillus (AFB) sputum ...
The nurse working on the pulmonary unit is asked to obtain an acid-fast bacillus (AFB) sputum specimen from a client. The nurse knows that this test is used to screen for:
 
  1. Cancer
  2. Tuberculosis (TB)
 
kkeehner   32   1 Reply
6 years ago
The nurse knows that the client who smokes is how much more likely to develop lung cancer than a ...
The nurse knows that the client who smokes is how much more likely to develop lung cancer than a ...
The nurse knows that the client who smokes is how much more likely to develop lung cancer than a nonsmoker?
 
  1. Twice
  2. Three times
  3. Five times
  4. Ten times
ktrcathy   33   1 Reply
6 years ago
A 47-year-old female client tells the nurse that her heart feels as though it is racing. The ...
A 47-year-old female client tells the nurse that her heart feels as though it is racing. The ...
A 47-year-old female client tells the nurse that her heart feels as though it is racing. The client's pulse is 160 beats per minute.
 
  The nurse knows that a vagal response will stimulate the parasympathetic nervous system to s
Krystenmcinnis   33   1 Reply
6 years ago
During pretesting for an elective surgery, it is discovered that the older adult client has atrial ...
During pretesting for an elective surgery, it is discovered that the older adult client has atrial ...
During pretesting for an elective surgery, it is discovered that the older adult client has atrial fi-brillation. The nurse knows that this is a common dysrhythmia in older people and can cause:
 
  1. Fatigue, a fluttering in th
ktrcathy   54   1 Reply
6 years ago
A client has been admitted to the emergency department with an aspirin overdose. The nurse ...
A client has been admitted to the emergency department with an aspirin overdose. The nurse ...
A client has been admitted to the emergency department with an aspirin overdose.
 
  The nurse anticipates that the client will be experiencing respiratory complications because the nurse knows that aspirin (salicylate) poisoning
Uyentrinh21   46   1 Reply
6 years ago
A client with coronary artery disease is being prepared for a coronary arterial bypass graft ...
A client with coronary artery disease is being prepared for a coronary arterial bypass graft ...
A client with coronary artery disease is being prepared for a coronary arterial bypass graft sur-gery. The nurse knows that the coronary artery that carries the most blood and can cause the most harm when blocked is the:
 
  1. L
breyia1006   94   1 Reply
6 years ago
A client who has a history of a major myocardial infarction is taking digoxin. The nurse explains ...
A client who has a history of a major myocardial infarction is taking digoxin. The nurse explains ...
A client who has a history of a major myocardial infarction is taking digoxin. The nurse explains this medication helps increase cardiac output by:
 
  1. Increasing the heart rate
  2. Reducing the resistance of pulmon
jsutherland119   52   1 Reply
6 years ago
The nurse working on the cardiac unit notes that the client has an S2 murmur, which the nurse ...
The nurse working on the cardiac unit notes that the client has an S2 murmur, which the nurse ...
The nurse working on the cardiac unit notes that the client has an S2 murmur, which the nurse understands is caused by:
 
  1. Pulmonic or aortic valve backflow or regurgitation
  2. Mitral valve backflow or regurgitati
kkeehner   45   1 Reply
6 years ago
A client diagnosed with chronic bronchitis is awakened from sleep experiencing shortness of breath. ...
A client diagnosed with chronic bronchitis is awakened from sleep experiencing shortness of breath. ...
A client diagnosed with chronic bronchitis is awakened from sleep experiencing shortness of breath.
 
  The nurse suspects that he is experiencing orthopnea and suggests positioning him to minimize the dyspnea so he can sleep mor
KarineShine   54   1 Reply
6 years ago
The nurse is preparing an educational handout for older adults with chronic respiratory diseases. To ...
The nurse is preparing an educational handout for older adults with chronic respiratory diseases. To ...
The nurse is preparing an educational handout for older adults with chronic respiratory diseases. To best minimize the risk for infection, the nurse should include which of the following guide-lines in the material?
 
  1. Rememb
posiodensgurl   53   1 Reply
6 years ago
The nurse is preparing to discuss myocardial infarctions (MIs) with a women's group. Which of the ...
The nurse is preparing to discuss myocardial infarctions (MIs) with a women's group. Which of the ...
The nurse is preparing to discuss myocardial infarctions (MIs) with a women's group. Which of the following assessment findings should be included when discussing the typically observed signs and symptoms in females experiencing an MI?
 
mayslee97   45   1 Reply
6 years ago
He nurse observes that a client's pulse rate is 58 beats per minute and regular in rhythm. Which of ...
He nurse observes that a client's pulse rate is 58 beats per minute and regular in rhythm. Which of ...
he nurse observes that a client's pulse rate is 58 beats per minute and regular in rhythm. Which of the following statements made by the nurse shows the appropriate understanding of the client's further need for assessment?
 
  1
Sbermudez   45   1 Reply
6 years ago
The nurse is assessing a client with a history of chronic obstructive pulmonary disease. When ...
The nurse is assessing a client with a history of chronic obstructive pulmonary disease. When ...
The nurse is assessing a client with a history of chronic obstructive pulmonary disease. When as-sessing for the presence of air hunger, the nurse should:
 
  1. Monitor the client's pulse oximetry reading
  2. Measure
Sbermudez   59   1 Reply
6 years ago
The primary effect of chronic fevers on the body's respiratory functioning is seen in: 1. ...
The primary effect of chronic fevers on the body's respiratory functioning is seen in: 1. ...
The primary effect of chronic fevers on the body's respiratory functioning is seen in:
 
  1. Increased oxygen requirements that exceed the body's ability to satisfy its needs
  2. Increased respiratory rates that tax t
kkeehner   55   1 Reply
6 years ago
Pregnancy affects a woman's oxygenation needs primarily because of: 1. The increased metabolic ...
Pregnancy affects a woman's oxygenation needs primarily because of: 1. The increased metabolic ...
Pregnancy affects a woman's oxygenation needs primarily because of:
 
  1. The increased metabolic demands required to support the fetus
  2. The increased tendency to develop anemia as a result of low iron reserves
deatk85   38   1 Reply
6 years ago
The primary reason a client with chronic obstructive pulmonary disease (COPD) often experienc-es ...
The primary reason a client with chronic obstructive pulmonary disease (COPD) often experienc-es ...
The primary reason a client with chronic obstructive pulmonary disease (COPD) often experienc-es fatigue and activity intolerance is related to:
 
  1. The increased presence of surfactant that results in sticky alveoli
&nbs
jsutherland119   51   1 Reply
6 years ago
The nurse is completing a physical examination for a client who is anemic. In assessing the ...
The nurse is completing a physical examination for a client who is anemic. In assessing the ...
The nurse is completing a physical examination for a client who is anemic. In assessing the cli-ent's eyes, a sign assessed by the nurse that is consistent with the diagnosis is:
 
  1. Xanthelasma
  2. Petechiae
&
Sbermudez   41   1 Reply
6 years ago
The nurse is reviewing the results of the client's diagnostic testing for pulmonary function. Of ...
The nurse is reviewing the results of the client's diagnostic testing for pulmonary function. Of ...
The nurse is reviewing the results of the client's diagnostic testing for pulmonary function. Of the following results, the finding that falls within expected or normal limits is:
 
  1. SpO2 88
  2. pH 7.52
 
lesh0402   63   1 Reply
6 years ago
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