NR 341 Exam 2 Questions and Answers latest updated ,100% CORRECT
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NR 341
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NR 341
NR 341 Exam 2 Questions and Answers latest updated
1. The nurse is caring for a client with hypovolemic shock. The family member asks why the fluids are being warmed. What is the best response by the nurse?
• “to prevent complications from hypothermia”
2. The nurse is caring for a n...
nr 341 exam 2 questions and answers latest updated
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NR 341 Exam 2 Questions and Answers latest updated
1. The nurse is caring for a client with hypovolemic shock. The family
member asks why the fluids are being warmed. What is the best response
by the nurse?
• “to prevent complications from hypothermia”
2. The nurse is caring for a newly admitted client diagnosed with acute kidney
injury. The nurse understands that the acute kidney injury is most likely
related to a history of which condition?
• Sepsis
3. The nurse is caring for a client being monitored by arterial pressure
monitoring. The nurse notes a systolic pressure of 164 mmHg. What
action should the nurse take first?
• Assess the client.
4. The nurse is caring for a client with an arteriovenous (AV) fistula. Upon
assessment, the nurse is unable to auscultate a bruit. What action should the
nurse take first?
• Notify the provider
5. The nurse is assessing jugular venous pressure. In what order should the
nurse proceed with the steps in the process? [place the steps in the correct
order beginning with the first step]
• 3.place head of bed between 30-45 degrees.
• 2. Have client turn head slightly to the left.
• 6. Shine a pen light across the neck, assess for jugular venous
distension at end ofexhalation.
• 5.observe the highest point of pulsation in the internal jugular vein at
end
exhalation.
• 4. Measure the vertical distance between the pulsation and the angle of
louis.
• 1. Add 5 cm to the measurement.
6. The nurse is caring for a client with acute kidney injury. The nurse
should anticipate which abnormal assessment finding?
• BUN/creatinine ration 25.1
7. The nurse is caring for a client whose vital signs are monitored using
invasive hemodynamic monitoring. Which action is most important for the
nurse to implement to decrease the risk of infection?
• Strict hand washing
This study source was downloaded by 100000802531269 from CourseHero.com on 09 -23-2022 21:57:30 GMT -05:00
, 8. The nurse is preparing a client for placement of a catheter for arterial
pressure monitoring. What is the best way for the nurse to assess ulnar
circulation prior to catheter insertion?
• Occlude the radial artery.
This study source was downloaded by 100000802531269 from CourseHero.com on 09 -23-2022 21:57:30 GMT -05:00
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