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MS1 EXAM 3 QUESTIONS AND VERIFIED ANSWERS
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MS1 EXAM 3 QUESTIONS AND VERIFIED ANSWERS...
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MS1 EXAM 3 QUESTIONS AND VERIFIEDANSWERS
A client's most recent laboratory results show a slight decrease in
potassium. The physician has opted to forego drug therapy but has
suggested increasing the client's dietary intake of potassium. What
should the nurse recommend? - ANSWER Bananas
A client with a longstanding diagnosis of generalized anxiety disorder
presents to the emergency room. The triage nurse notes upon
assessment that the client is hyperventilating. The triage nurse is aware
that hyperventilation is the most common cause of which acid-base
imbalance? - ANSWER Respiratory alkalosis
A client with hypertension has been prescribed hydrochlorothiazide.
What nursing action will best reduce the client's risk for electrolyte
disturbances? - ANSWER Encourage fluid intake
A nurse educator is reviewing a client's recent episode of metabolic
acidosis with members of the nursing staff. What should the educator
describe about the role of the kidneys in metabolic acidosis? - ANSWER
The kidneys excrete hydrogen ions and conserve bicarbonate ions to
help restore balance.
A nurse in the neurologic ICU has received a prescription to infuse a
hypertonic solution into a client with increased intracranial pressure. This
solution will increase the number of dissolved particles in the client's
blood, creating pressure for fluids in the tissues to shift into the
capillaries and increase the blood volume. This process is best
described as which of the following? - ANSWER Osmosis and osmolality
Baroreceptors in the left atrium and in the carotid and aortic arches,
respond to changes in the circulating blood volume and regulate
sympathetic and parasympathetic neural activity as well as endocrine
, activities. Sympathetic stimulation constricts renal arterioles, causing
what effect? - ANSWER Decrease in glomerular filtration
Diagnostic testing has been prescribed to differentiate between normal
anion gap acidosis and high anion gap acidosis in an acutely ill client.
What health problem often precedes normal anion gap acidosis? -
ANSWER Excessive administration of chloride
One day after a client is admitted to the medical unit, the nurse
determines that the client is oliguric. The nurse notifies the acute-care
nurse practitioner who prescribes a fluid challenge of 200 mL of normal
saline solution over 15 minutes. This intervention will achieve what goal?
- ANSWER Help distinguish reduced renal blood flow from decreased
renal function
The emergency-room nurse is caring for a trauma client. Your client has
the following arterial blood gas results: pH 7.26, PaCO2 28, HCO3 11
mEq/L. How should the nurse interpret these results? - ANSWER
Metabolic acidosis with a compensatory respiratory alkalosis
The nurse in the medical ICU is caring for a client who is in respiratory
acidosis due to inadequate ventilation. What diagnosis could the client
have that could cause inadequate ventilation? - ANSWER Guillain--
Barré syndrome
The nurse is caring for a client admitted to the medical unit 72 hours ago
with pyloric stenosis. A nasogastric tube placed upon admission has
been on low intermittent suction ever since. Upon review of the
morning's blood work, the nurse notices that the client's potassium is
below reference range. The nurse should assess for signs and
symptoms of what imbalance? - ANSWER Metabolic alkalosis
The nurse is caring for a client who is to receive IV daunorubicin, a
chemotherapeutic agent. The nurse starts the infusion and checks the
insertion site as per protocol. During the most recent check, the nurse
observes that the IV has infiltrated so the nurse stops the infusion. What
is the nurse's priority concern with this infiltration? - ANSWER
Extravasation of the medication
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