Nurs 341 Prep Exam 1 Questions And All Correct Answers.
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Course
NR 341
Institution
NR 341
An older adult client is receiving furosemide (Lasix) for treatment of peripheral edema. Which nursing assessment data identify that the client is at risk for falling?
A. Dry oral mucous membranes
B. Orthostatic blood pressure changes
C. Pulse rate of 72 beats/min and bounding
D. Serum potas...
Nurs 341 Prep Exam 1 Questions And All
Correct Answers.
An older adult client is receiving furosemide (Lasix) for treatment of peripheral edema. Which nursing
assessment data identify that the client is at risk for falling?
A. Dry oral mucous membranes
B. Orthostatic blood pressure changes
C. Pulse rate of 72 beats/min and bounding
D. Serum potassium level of 4.0 mEq/L - Answer Orthostatic blood pressure changes
A client has a low serum potassium level and is ordered a dose of parenteral potassium chloride (KCl).
How does a nurse safely administer KCl to the client?
A. Administers 5 mEq, intramuscularly (IM)
B. Dilutes 200 mEq in 1 liter of normal saline and infuses at 100 mL/hr
C. Infuses 10 mEq over a 1-hour period
D. Pushes 5 mEq through a central access line - Answer Infuses 10 mEq over a 1-hour period
A client is being monitored for daily weights. The night nurse asks the nursing assistant for the morning
weight, and the assistant replies, "She was sleeping so well, I didn't want to wake her to get her weight."
How does the nurse respond?
A. "Fast thinking! She really needs to rest after the night she had."
B. "Get the information now, or I'll report you for not doing your job."
C. "Never mind-I will do it myself."
D. "Weigh her now. We need her weight daily, at the same time." - Answer "Weigh her now. We need
her weight daily, at the same time."
Which situation can cause a client to experience "insensible water loss"? Select all that apply.
A. Diarrhea
B. Dry, hot weather
,C. Fever
D. Increased respiratory rate
E. Nausea
F. Mechanical ventilation - Answer Diarrhea
Dry, hot weather
Fever
Increased respiratory rate
Mechanical ventilation
Which client is at increased risk for fluid and electrolyte imbalance? Select all that apply.
A. 22-year-old pregnant woman in her third trimester
B. 24-year-old male athlete
C. 45-year-old man on diuretics
D. 47-year-old man traveling to South America in summer
E. 76-year-old bedridden woman - Answer 45-year-old man on diuretics
47-year-old man traveling to South America in summer
76-year-old bedridden woman
A nurse instructs an older adult client to increase intake of dietary potassium when the client is
prescribed which classification of drugs?
A. Alpha antagonists
B. Beta blockers
C. Corticosteroids
D. High-ceiling (loop) diuretics - Answer High-ceiling (loop) diuretics
A nurse is instructing a client who is being discharged with a diagnosis of congestive heart failure (CHF).
Which client statement indicates a correct understanding of CHF?
A. "I can gain 2 pounds of water a day without risk."
B. "I should call my provider if I gain more than 1 pound a week."
,C. "Weighing myself daily can determine if my caloric intake is adequate is effective."
D. "Weighing myself daily can reveal increased fluid retention." - Answer "Weighing myself daily can
reveal increased fluid retention."
Which client is at greatest risk for hypernatremia?
A. 17 year-old with a serum blood glucose of 189 mg/dL
B. 30-year-old on a low-salt diet
C. 42-year-old receiving hypotonic fluids
D. 54-year old who is sweating profusely - Answer 54-year old who is sweating profusely
As adults age, which common physiologic change is likely to alter their hydration status?
A. Adrenal gland growth
B. Decreased muscle mass
C. Increased thirst mechanism
D. Poor skin turgor - Answer Decreased muscle mass
A nurse is reviewing serum electrolytes and blood chemistry for a newly admitted client. Which result
causes the greatest concern?
A. Glucose: 97 mg/dL
B. Magnesium: 2.1 mEq/L
C. Potassium: 5.9 mEq/L
D. Sodium: 143 mEq/L - Answer Potassium: 5.9 mEq/L
A client with hyperkalemia is being treated with drugs to improve the condition. Which potassium level
indicates that therapy is effective?
A. 7.6 mEq/L
B. 5.6 mEq/L
C. 4.6 mEq/L
D. 2.6 mEq/L - Answer 4.6 mEq/L
, A client is admitted with hypokalemia and skeletal muscle weakness. Which assessment does the nurse
perform first?
A. Blood pressure
B. Pulse
C. Respirations
D. Temperature - Answer Respirations
A client develops fluid overload while in the intensive care unit. Which nursing intervention does the
nurse perform first?
A. Draws blood for laboratory tests
B. Elevates the head of the bed
C. Places the extremities in a dependent position
D. Puts the client in a side-lying position - Answer Elevates the head of the bed
A nurse is assessing a client with hyponatremia. Which finding requires immediate action?
A. Diminished bowel sounds
B. Heightened acuity
C. Muscular weakness
D. Urine output of 35 mL/hr - Answer Muscular weakness
A nurse is teaching a group of unlicensed assistive personnel (UAP) about fluid intake principles for older
adults. What does the nurse tell them?
A. "Be careful not to overload them with too many oral fluids."
B. "Offer fluids that they prefer frequently and on a regular schedule."
C. "Restrict their fluids in the evening hours if they are incontinent."
D. "Wake them every 2 hours during the night with a drink." - Answer "Offer fluids that they prefer
frequently and on a regular schedule."
A nurse is caring for a client who is receiving intravenous (IV) magnesium sulfate (MgSO4). Which
assessment parameter is critical?
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