the nurse is teaching the significant other of a p
the lpnlvn notices that one of the older adult re
an older adult resident of a long term care facil
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Chapter 6 Med Surg. Questions And
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The nurse is teaching the significant other of a patient the signs of approaching
death which side should the nurse include in the discussion? Select all that apply -
ANSWER✔✔1 Sinking and glazing of eyes
2 drop in blood pressure
3 wax like skin appearance
4 rapid and deep respirations with periods of apnea
The LPN/Lvn notices that one of the older adult residence in the long-term care
facility has decreased intake of fluids at the noon meal. Reviewing the residence
record the nurse discovers that the recorded oral intake is 300 mL over the past 24
hours. What should the nurse next action be? - ANSWER✔✔Collect further data
focused upon the residence fluid balance
An older adult resident of a long-term care facility has decreased oral intake over
two days the LPN Lvn is careful to assess the resident which signs and symptoms
of dehydration? - ANSWER✔✔Dark concentrated urine ,confusion, decreased
blood pressure and increased heart rate
A patient with a history of hypertension two previous cerebrovascular accident is
hospitalized with a third CVA. The patient is receiving intravenous fluids with
potassium chloride. On the third day after the mission the LPN notes eight trend of
steadily decreasing urinary output despite no changes to the intravenous orders.
The patient is at risk for developing which disorder? - ANSWER✔✔Hyperkalemia
After eating an entire Italian submarine sandwich a patient complains of extreme
thirst and then purchases and consumes two large bottles of water. The LP
explained to the patient that the thirst is being driven by which mechanism? -
ANSWER✔✔Increased blood sodium concentration from cured meats
The LPN is reviewing orders for a patient was recently admitted with diagnosis of
hypo kalemia and congestive heart failure. The LPN would alert the RN to which
order? - ANSWER✔✔Administer 10 mEq KC1 by intravenous push twice daily
, The LPN is providing care to an older adult resident in a long-term care facility.
The resident received several medications daily. The LPN notes that one of the
medication has the potential to cause significant electrolyte in balance is. The LPN
reviews the care plan for the resident and recognizes which has the most accurate
way to monitor electrolyte data? - ANSWER✔✔Laboratory test
The student nurse notes that the unlicensed assistant personnel spend considerable
time and effort queuing and encouraging older adult long-term care residents to
consume fluids at mealtime. The clinical structure explains as an activity is most
important for which reason? - ANSWER✔✔Older adults have a decreased sense of
thirst and increased risk for dehydration
A family member of an acute legal patient becomes very anxious after speaking
with a patient's healthcare provider. The LPN notices that the family member has
moved away from the other visitors and is standing off to the side breathing very
rapidly. The LPN approaches a family member with the understanding of the
family member is at risk for developing which acid base imbalance? -
ANSWER✔✔Respiratory alkalosis
A hospitalized patient has a potential for significant fluid and electrolyte imbalance
it has been placed on strict intake and output monitoring by the healthcare
provider. The LPN is collecting data to tabulate the shift intake and output totals
for the patient. Which information of the LPN include in the intake tabulation?
Select all that apply - ANSWER✔✔-800 mL of 0.9% NaCl via intravenous
-240 mL of Ginger ale
-200 mL sodium phosphate enema for
-20 mL of 0.9% NaCl IV flushes
The LPN is caring for an 88-year-old patient who is receiving intravenous 0.9%
NaCl at a rate of 100 mL per hour. Which signs and symptoms of fluid overload
with a nurse to be alert? Select all that apply - ANSWER✔✔-Crackles on
auscultation
-bounding pulse
-increasing blood pressure
-Dyspnea
-puffy eyelids
__________is the transfer of water in salutes through a membrane from an area of
high-pressure to an area of low pressure - ANSWER✔✔Filtration
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