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NURS 401 Exam 3 Questions With Complete Solutions

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NURS 401 Exam 3 Questions With Complete Solutions A nurse is caring for a client in the progressive care unit w/ 4+ pitting edema, HR 110, BP 86-50, Resp. 20. Client has central venous pressure of 2 and urine output averaging 15ml/hr, lung sounds clear on auscultation. Which prescription is ...

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  • November 13, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
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  • NURS 401
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NURS 401 Exam 3 Questions With Complete
Solutions

A nurse is caring for a client in the progressive care unit w/ 4+ pitting edema, HR 110, BP 86-50,

Resp. 20. Client has central venous pressure of 2 and urine output averaging 15ml/hr, lung

sounds clear on auscultation. Which prescription is expected? Albumin




A client in the diuretic phase of AKD has developed hypotention and hypovolemia. What should

you do? Obtain EKG and report findings




Which client is at greatest risk of developing AKI? Client w/ diabetes and a heart cath.




The charge nurse would assign the care of which patient to the LPN under supervision of an RN?

Patient w/ oral antibiotics




A client has developed DIC secondary to sepsis, which would indicate micro thrombosis? SATA

Anuria, hematuria, and oliguria




The nurse is instructing the client w/ S3 CKD, which diet would be most appropriate? SATA

Low protein, low sodium, low potassium

,NURS 401 Exam 3 Questions With Complete
Solutions

A client w/ ESRD has a fistula in the left arm for access during dialysis. What should the nurse

assess? SATA Palpate for thrill, listen for bruit, encourage R.O.M., monitor cap refill, and

warmth of extremities




Patient w/ polycystic disease. How should the manage? SATA Notify health care provider

for visual disturbances, dry heat on flank, measure BP daily, notify provider of fever.




Nurse is reviewing lab report, serum calcium in patient w/ multiple myeloma is 15.2. What

should the nurse expect? Administer IV fluids




What is expected in DIC? SATA Excessive thrombosis & Bleeding




A nurse supervising a senior nursing student is teaching about AKI, what should she include?

SATA Adequate fluids, urine output less then 0.5 ml/kg/hr, monitor lab values for kidney

function, question prescriptions for nephrotoxic drugs




Long QRS interval. What action should a nurse take first? Check last potassium level

, NURS 401 Exam 3 Questions With Complete
Solutions

Client w/ hypovolemia is receiving a blood transfusion w/ crackles and distended neck veins.

What is the nurse's initial reaction? Slow the transfusion




Client w/ small cell lung cancer w/ diagnosis of SIADH, which finding is not consistent w/

diagnosis? Specific gravity in normal range




A nurse working in a community health clinic is working with a patient w/ purpura, Which

statements should the nurse expect? SATA I have been getting terrible headaches &

dizziness.

I have bed smelling diarrhea that lasts a long time.

I feel fine but my skin color is pale.




The nurse is preparing to give a dose of calcium acetate to a client w/ CKD. Which lab will the

nurse monitor for effectiveness? Phosphorus




Stage 1 chronic renal failure, What should the nurse teach the client? Make lifestyle

changes

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