A Nurse is admitting a client who reports nausea, vomiting, and weakness. The client has dry oral mucous membranes. Which of the following findings should the nurse identify as manifestations of fluid volume deficit? ( Select all that apply): A. Decreased Skin Turgor. B. Concentrated Urine C. Bradycardia, D. Low-Grade Fever, E. Tachypnea

A nurse is admitting an older adult client who is experiencing dyspnea, weakness, weight gain of 2 lb, and 1+ bilateral edema of the lower extremities. The client has temperature 37.2, pulse 96, respirations 26, Oxygen saturation of 94%, and blood pressure 152/96. Which of the following manifestations of fluid volume excess should the nurse expect? ( Select all that apply): A. Dyspnea, B. Edema, C. Bradycardia, D. Hypertension, E. Weakness

A nurse is assessing a client who is dehydrated for fluid volume deficit. Which of the following findings should the nurse expect in the client?

A nurse is caring for an older adult client in a long-term care facility. The client has become weak and confused. He ate 40% of his breakfast and lunch. The client's temperature is 38.3, pulse 92, respirations 20, and blood pressure 108/60. He has lost 3/4 lb and reports dizziness when assisted to the bathroom. He also has a nonproductive cough with diminished breath sounds in the right lower lobe. Which of the following actions should the nurse take?

A nurse is caring for a client who has serum sodium level 133 and serum potassium level 3.4. The nurse should recognize that which of the following treatments can result in these laboratory findings ?

A nurse is caring for a client who has a serum potassium 5.4. The nurse should assess for which of the following manifestations ?

A nurse is caring for a client who has a NG tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalances?

A nurse is assessing a client who has hyperkalemia. The nurse should identify which of the following conditions as being associated with electrolyte imbalance?

A nurse is assessing a client for Chvostek. Which of the following techniques should the nurse use to preform this test?

A nurse is obtaining arterial blood gases for a client who has vomited for 24 hours. The nurse should expect which of the following acid-base imbalances to result from vomiting for 24 hours?

A charge nurse nurse is teaching a group of nurses about conditions related to metabolic acidosis. Which of the following statement by a unit nurse indicates the teaching has been effective?

A nurse is assessing a client who has pancreatitis. The client's arterial blood gases reveal metabolic acidosis. Which of the following are expected findings? ( Select all that apply): A. Tachycardia, B. Hypertension, C. Bounding pulses, D. Hyperreflexia, E. Dysrhythmia, F. Tachypnea

A patient with multiple draining wounds is admitted for hypovolemia. Which assessment would be the most accurate way for the nurse to evaluate fluid balance?

A patient who is taking a potassium-wasting diuretic for treatment of hypertension complains of generalized weakness. Which action is appropriate for the nurse to take?

A patient with new-onset confusion and hyponatremia is being admitted. When making room assignments, the charge nurse should take which action?

A postoperative patient who had surgery for a perforated gastric ulcer has been receiving nasogastric suction for 3 days. The patient now has a serum sodium level of 127 mEq/L (127 mmol/L). Which prescribed therapy should the nurse question?

A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48, PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25 mEq/L?

The nurse notes that a patient who was admitted with diabetic ketoacidosis has rapid, deep respirations. Which action should the nurse take?

A patient receives 3% NaCl solution for correction of hyponatremia. Which assessment is most important for the nurse to monitor for while the patient is receiving this infusion?

A patient who is lethargic and exhibits deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should the nurse interpret these results?

The nurse is caring for a patient who has a calcium level of 12.1 mg/dL. Which nursing action should the nurse include on the care plan?

A patient has a magnesium level of 1.3 mg/dL. Which assessment would help the nurse identify a likely cause of this value?

A patient has a parenteral nutrition infusion of 25% dextrose. A student nurse asks the nurse why a peripherally inserted central catheter was inserted. Which response by the nurse is accurate?

An older patient receiving iso-osmolar continuous tube feedings develops restlessness, agitation, and weakness. Which laboratory result should the nurse report to the health care provider immediately?

A patient has a serum calcium level of 7.0 mEq/L. Which assessment finding is most important for the nurse to report to the health care provider?

Following a thyroidectomy, a patient complains of “a tingling feeling around my mouth.” Which assessment should the nurse complete?

A patient is admitted to the emergency department with severe fatigue and confusion. Laboratory studies are done. Which laboratory value will require the most immediate action by the nurse?

When assessing a pregnant patient with eclampsia who is receiving IV magnesium sulfate, which finding should the nurse report to the health care provider immediately?

A patient is receiving a 3% saline continuous IV infusion for hyponatremia. Which assessment data will require the most rapid response by the nurse?

After receiving change-of-shift report, which patient should the nurse assess first?