Nur 160 Study Set with 100% Correct | Latest Updated Graded A+

The nurse knows the most accurate way to determine Water balance in the body is which of the following? - Weighing The patient at the same time and same scale The Nurse Understands the population at most risk for fluid and electrolyte imbalance are which of the following? - Infants geriatrics The nurse assessing a patient that has exhibited positive Chovestick and Trousseau signs. The nurse knows these are signs of which imbalance? - Hypocalcemia Which is the correct process for measuring the length for nasogastric tube (NGT) insertion? - Tip of not to earlobe to xiphoid process The nurse knows the importance of making sure the nasogastric tube is properly placed in the stomach of the patient. Which of the following is noted for being best practice on verifying nasogastric tube placement? - Abdominal/ Thoracic chest x-ray A patient is exhibiting the following signs and symptoms: dry mucus membranes, poor skin turgor and tenting of skin. The nurse knows there are signs and symptoms of which of the following? - Fluid volume deficit (FVD)A patient is refusing to ambulate to the bedside commode. Which Statement by the patient is related to their refusal to ambulate? - I saw my roommate fall last week when going to the bathroom" A patient with emphysema is having difficulty breathing after ambulating to the bathroom. Which medication will the patient take for immediate relief of the breathing difficulty? - Albuterol (Proventil) The LPN is caring for a patient with a nasogastric tube (NGT) following gastric surgery. The patient has an order for metropolol (Lopressor) 25 mg extended-release capsule. Which is the LPN's best intervention? - Call Physician to clarify order The nurse understands Vitamin D is necessary for the absorption of which electrolyte? - Calcium When will the nurse begin discharge instructions with a surgical patient? - During pre operative stage The nurse is teaching oxygen safety to the nursing assistant on safe oxygen administration and possible issues that should be reported to the nurse. Which statement by the nursing assistant indicates a need for further information. - will keep an extra cylinder of oxygen in the corner of the room by the heater"The LPN is caring for a patient with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD). Which arterial blood gas values indicate that the patient is in respiratory acidosis? - pH 721 PaCO2 49. HCO3 25 The nurse is providing care to a patient had a bowel resection, with a midline incision that has ten sutures. In order to predict and manage potential complications, which action should the nurse take? - Place the patient in semi fowlers knees slightly flexed The LPN is completing a head-to- toe assessment on a patient. Which pulse assessment is not appropriate for the nurse to take? - Palpate the carotid arteries bilaterally at the same time The post operative patient tells the nurse "I felt something pop near my incision" Upon assessing the surgical safe, the nurse noticed the wound is it in the process of dehiscence. The nurse understands this may have occurred due to which process? - Forceful coughing The LPN is caring for a patient who has crackles bilaterally on inspiration that does not clear with coughing. Which would the LPN anticipate as the cause of crackles? - Fluid in the lungs The patient asks the LPN what could have continued to their diagnosis of metabolic acidosis. Which of the following statements would be an appropriate response by the nurse? - The diarrhea you experienced during the last week caused your imbalance" During lunch the nurse notices a patient with a mid- line incision coughing forcibly. Which should be the nurse's next action after the patient is no longer coughing? - The nurse will educate on splintingThe nurse is doing education with a patient that is newly diagnosed with diabetes mellitus. Which statement by the patient would indicate a