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ATI PHARM PROCTORED.
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) A nurse is assessing a client who is receiving intravenous therapy. The nurse should idenfy which of the following ndings as a manifestaon of uid volume excess? a. Decreased bowel sounds b. D... istended neck veins c. Bilateral muscle weakness d. Thread pulse 2.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic soluon. Which of the following ndings should indicate to the nurse that the treatment is e&ecve? a. Absent Chvostek’s sign b. Improved cogni on c. Decreased voming d. Cardiac arrhythmias absent 3.) A nurse is teaching a client who has a new prescripon for a nitroglycerin transdermal patch. Which of the following instrucons should the nurse include? a. “Disconnue the patch if you experience a headache.” b. “Apply a new patch if you have chest pain.” c. “Cover the patch with dry gauze when taking a shower.” d. “Remove the patch prior to going to bed.” 4.) A nurse is reviewing he laboratory results of a client who has a prescripon for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creanine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level, so the PN should monitor the client's serum potassium level [Show More]
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