*NURSING > EXAM > NR 341 EXAM 2 CCATS- ChamberlainNURS 6512N TESTBANK-Guide to Clinical Documentation 3rd Edition by D (All)
NR 341 EXAM 2 CCATS- ChamberlainNURS 6512N TESTBANK-Guide to Clinical Documentation 3rd Edition by Debra D Sullivan
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Exam 2 NR 341 1. The nurse is caring for a client with hypovolemic shock. The family member asks why the fluids are being warmed. What is the best response by the nurse? • “to prevent complicat... ions from hypothermia” 2. The nurse is caring for a newly admitted client diagnosed with acute kidney injury. The nurse understands that the acute kidney injury is most likely related to a history of which condition? • Sepsis 3. The nurse is caring for a client being monitored by arterial pressure monitoring. The nurse notes a systolic pressure of 164 mmHg. What action should the nurse take first? • Assess the client. 4. The nurse is caring for a client with an arteriovenous (AV) fistula. Upon assessment, the nurse is unable to auscultate a bruit. What action should the nurse take first? • Notify the provider 5. The nurse is assessing jugular venous pressure. In what order should the nurse proceed with the steps in the process? [place the steps in the correct order beginning with the first step] • 3.place head of bed between 30-45 degrees. • 2. Have client turn head slightly to the left. • 6. Shine a pen light across the neck, assess for jugular venous distension at end of exhalation. • 5.observe the highest point of pulsation in the internal jugular vein at end exhalation. • 4. Measure the vertical distance between the pulsation and the angle of louis. • 1. Add 5 cm to the measurement. 6. The nurse is caring for a client with acute kidney injury. The nurse should anticipate which abnormal assessment finding? • BUN/creatinine ration 25.1 7. The nurse is caring for a client whose vital signs are monitored using invasive hemodynamic monitoring. Which action is most important for the nurse to implement to decrease the risk of infection? • Strict hand washing 8. The nurse is preparing a client for placement of a catheter for arterial pressure monitoring. What is the best way for the nurse to assess ulnar circulation prior to catheter insertion? • Occlude the radial artery.9. The nurse is monitoring a client on hemodialysis. The nurse understands that which lab value has the highest potential to be abnormal and cause complications as a result of fluid imbalance? • Electrolytes [Show More]
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