Nursing Bundled exams with complete solutions

A nurse is collecting data from a client who is receiving oxygen therapy. The nurse should identify that which of the following findings can indicate oxygen toxicity? - Ringing in the ears A nurse is caring for a client who is receiving supplemental oxygen for hypoxia. The nurse should identi...

A nurse on a pediatric floor is teaching a newly licensed nurse about iv therapy. Which of the following information should the nurse include? a. Perform range of motion exercises on the extremity containing the IV site. b. Shave the client's hair if the IV is to be placed in the scalp. c. IV ...

The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, Pco2 of 30 mm Hg, and HCO3 of 20 mEq/L. The nurse analyzes these results as indicating which condition? - Respiratory alkalosis, compensated The nurse is caring for a client with a nasogastric tube th...

Respiratory acidosis - pH low, PaCO2 high, K+ high. compensated by HCO3 high to bring pH to normal Metabolic acidosis - pH low, HCO3 low, K+ high compensated by PaCO2 low Respiratory alkalosis - pH high, PaCO2 low, K+ low. compensated by HCO3 low to bring pH to normal Metabolic alkalosis - pH ...

Correct answer: 3 Rationale: A fluid volume excess is also known as overhydration or fluid overload and occurs when fluid intake or fluid retention exceeds the fluid needs of the body. Assessment findings associated with fluid volume excess include cough, dyspnea, crackles, tachypnea, tachycard...

On morning assessment of your patient in room 2502 who has severe burns. You notice that fluid is starting to accumulate in his abdominal tissue. You note that his weight has not changed and his intake and output is equal. What do you suspect? • Third spacing • This is normal and expected ...