1262 Test 6 ANSWERED

1262 Test 6 A nurse is monitoring a client who has dehydration and is receiving IV fluid replacement. Which of the following findings should the nurse identify as effectiveness of the treatment? Urine output 200 mL ...

1262 Test 6 A nurse is monitoring a client who has dehydration and is receiving IV fluid replacement. Which of the following findings should the nurse identify as effectiveness of the treatment? Urine output 200 mL/4 hr Heart rate 104/min Peripheral pulses +1 Urine specific gravity 1.04 Ans: Urine output 200 mL/4 hr A nurse is reviewing a client's admission laboratory findings that indicate the client has hyponatremeia. Which of the following laboratory findings should the nurse also expect to be below the expected reference range? Magnesium Calcium Potassium Chloride Ans: Chloride A nurse is reviewing the medication record of a client who has heart failure and has a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as a possible cause of the client's potassium level? Spironolactone Nitroglycerin Furosemide Metoprolol Ans: Furosemide A nurse is collecting data for a client who has fluid volume deficit. Which of the following is an expected finding? Decreased BUN Decreased hematocrit Increased urine ketones Increased urine specific gravity Ans: Increased urine specific gravity A nurse is collecting data from a client who has a sodium level of 128 mEq/L. Which of the following manifestations should the nurse expect? Increased appetite Hyporeflexia Constipation Headache Ans: Headache A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated? Distended neck veins Urine specific gravity 1.034 Bounding pulse BP 146/94 mm Hg Ans: Urine specific gravity 1.034 A nurse is monitoring a client who is dehydrated. Which of the following laboratory findings should the nurse report to the provider? BUN 25 mg/dL Creatinine 0.9 mg/dL Hematocrit 45% Urine specific gravity 1.028 Ans: BUN 25 mg/dL A nurse is caring for an infant who is dehydrated and requires IV therapy. The nurse should monitor the infant's response to therapy by performing which of the following actions? Counting the number of wet diapers every shift Weighing the infant at the same time every day Taking the infant's vital signs every 2 hr Measuring the infant's head circumference twice per day Ans: Weighing the infant at the same time every day A nurse is reviewing the medical record of a client who has a fluid volume deficit. The nurse should expect which of the following findings? BUN 12 mg/dL Urine output 15 mL/hr Urine specific gravity 1.020 Hct 43% Ans: Urine output 15 mL/hr A nurse is collecting data about the fluid status of four clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit? A client who has end-stage kidney disease who will undergo dialysis A client who has NPO status since midnight for an endoscopy A client who has gastroenteritis and is receiving oral fluids A client who has heart failure and is receiving diuretic therapy Ans: A client who has gastroenteritis and is receiving oral fluids The nurse is collecting data from a client who has hypocalcemia. Which of the following findings should the nurse expect? Hypoactive bowel sounds Skeletal muscle weakness Decreased deep-tendon reflexes Tingling of the lips Ans: Tingling of the lips A nurse in a community clinic is collecting data from an older adult who has a body mass index of 17.5. When evaluating the client for dehydration, the nurse should look for which of the following indications of fluid-volume deficit? Dry mucous membranes Tenting Protruding eyeballs Elevated blood pressure Ans: Dry mucous membranes A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetanide. For which of the following results should the nurse notify the provider? Potassium 2.3 mEq/L Sodium 136 mEq/L Calcium 10 mg/dL Magnesium 1.4 mEq/L Ans: Potassium 2.3 mEq/L A nurse is reviewing the laboratory data for a client who is to begin a new prescription for furosemide. Which of the following laboratory values is priority for the nurse to check before administering this medication? Hgb Uric acid level WBC Potassium Ans: Potassium A nurse is reinforcing discharge teaching with a client who has pulmonary edema and is about to start taking furosemide. Which of the following should the nurse include? Eat foods that contain plenty of potassium. Take aspirin for headaches. Expect some swelling in the hands and feet. Take the medication at bedtime. Ans: Eat foods that contain plenty of potassium. A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L. The nurse notifies the provider and anticipates that the provider will provide which of the following instructions? Restrict fluid intake. Administer potassium gluconate 40 mEq orally. Have the laboratory draw a blood sample for an erythrocyte sedimentation rate. Obtain a 12-lead ECG. Ans: Obtain a 12-lead ECG. A nurse is caring for a client who is taking furosemide. For which of the following adverse effects should the nurse monitor? Hypervolemia Hypertension