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Nur 235 Exam 3 Questions And Answers With Verified Solutions Already Passed!!!
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Nur 235 Exam 3 Questions And Answers With Verified Solutions Already Passed!!!
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Nur 235 Exam 3 Questions And AnswersWith Verified Solutions Already
Passed!!!
The nurse is caring for a client with heart failure who is receiving high doses of a
diuretic. On assessment, the nurse notes that the client has flat neck veins,
generalized muscle weakness, and diminished deep tendon reflexes. The nurse
suspects hyponatremia. What additional signs would the nurse expect to note in a
client with hyponatremia?
A. Muscle twitches
B. Decreased Urinary output
C. Hyperactive bowel sounds
D. Increased specific gravity of the urine - ANSWER✔✔ C. Hyperactive bowel
sounds
A nurse is caring for a client with a nasogastric tube (NGT) who has a prescription
for NGT irrigation once every 8 hours. To maintain homeostasis, which solution
should the nurse use to irrigate the NGT?
A. Tap wate
rB. Sterile Water
C. 0.9% Sodium Chloride
D. 0.45% Sodium Chloride - ANSWER✔✔ C. 0.9% Sodium Chloride
The nurse is preparing to care for a client with a potassium deficit. The nurse
reviews the client's record and determines that the client was at risk for developing
the potassium deficit because of which situation?
A. Sustained tissue damage
B. Requires Nasogastric suction
C. Has a history of Addison's disease
, D. Is taking a potassium-retaining diuretic - ANSWER✔✔ B. Requires
Nasogastric suction
During an assessment of a newly admitted client, the nurse notes that the client's
heart rate is 110 beats/minute, his blood pressure shows orthostatic changes when
he stands up, and his tongue has a sticky, paste-like coating. The client's spouse
tells the nurse that he seems a little confused and unsteady on his feet. Based on
these assessment findings, the nurse suspects that the client has which condition?
A. Dehydration
B. Hypokalemia
C. Fluid Overload
D. Hypernatremia - ANSWER✔✔ A. Dehydration
The nurse is performing an assessment on a client admitted to the hospital with a
diagnosis of dehydration. Which assessment finding should the nurse expect to
note?
A. Bradycardia
B. Elevated blood pressure
C. Changes in mental status
D. Bilateral crackles in the lung - ANSWER✔✔ C. Changes in mental status
A nurse is planning care for a client with hypokalemia. Which interventions should
be included in the plan of care? Select all that apply.
A. Ensure adequate fluid intake.
B. Implement safety measures to prevent falls
C. Encourage low fiber foods to prevent diarrhea
.D. Instruct the client about foods that contain potassium.
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