NUR 2571 Professional Nursing II PN2 Exam 1 The nurse is assessing an elderly client receiving IV fluids. Which of the following will not indicate fluid volume overload? Weak and thready pulses The nurse is admitting a client with suspected appendicitis. The nurse understands that this client will most likely identify pain in which of the following locations? Right lower quadrant (RLQ), McBurney's point The student nurse starting stomach disorder learns that the risk factors for acute gastri tis include which of the following? (Select all that apply). Corticosteroids Nonsteroidal anti -inflammatory drugs (NSAIDS) Caffeine The nurse is caring for a client who has been diagnosed with esophageal cancer. The client appears anxious to ask the nur se. "Does this mean I'm going to die?" Which nursing response is appropriate? (Select all that apply.) "Let me sit with you for a while, and we can discuss how you are feeling about this." "It sounds like death frightens you." The nurse obtains all the f ollowing assessment data about a client with deficient fluid volume caused by dehydration. Which of the following assessment data will be of greatest concern? The blood pressure is 88/40 mm/Hg Before the nurse administers IV replacement of 5% dextrose in water with potassium chloride, what action is appropriate for the nurse to take? Evaluate in laboratory results for electrolytes A provider orders a continuous IV infusion of normal saline (NS) with 20 mEq of potassium chloride (KCl)/ liter to infuse at 50 mL/hr. The first 1 -liter bag was hung at 0300. What time does the nurse anticipate needing to hang the second bag of IV fluids? (record answer in military time). 0800 Which client being managed for dehydration does the nurse consider at greatest risk f or possible reduced kidney function? An 80 -year-old man who has benign prostatic hyperplasia A nurse is reviewing the blood urea nitrogen (BUN) and creatinine levels of an older adult client admitted for acute renal failure as a result of obstructive rena l calculi. The nurse should expect which of the following laboratory findings? BUN 34 mg/dl and creatinine 5.2 mg/dl A client with a calcium level of 14 mg/dL is being cared for on the medical unit. Nursing actions include which of the following? Provide with continuous IV infusions
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