Med/Surg Final

A group of students are reviewing information on the roles of a nurse. The students demonstrate understanding of the information when they identify which activity as associated with the nurse's role as a leader?

At 11 p.m., a client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He's anxious, andwheezes are audible. The client is immediately given oxygen by face mask and methyl prednisolone (Depo-Medrol) I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86%, and he's still wheezing. The nurse should plan to administer:

A client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which oxygen delivery method would give the greatest level of inspired oxygen?

A nursing instructor is preparing a class about age-related changes in the cardiovascular system that occur in the older adult. Which of the following would the instructor most likely include?

Which of the following changes associated with aging contributes to heart failure development in older adults? Select all that apply.

A client is experiencing edema in the tissue. What type of intravenous fluid would the nurse expect to be prescribed?

A client is experiencing edema in the tissue. The nurse is correct in anticipating which tonicity of intravenous fluid?

A client presents with muscle weakness, tremors, slow muscle movements, and vertigo. 

The following are the client's laboratory values: 

Sodium134 mEq/L (134 mmol/L) Normal 135-145

Potassium3.2 mEq/L (3.2 mmol/L) Normal 3.5-5.0

Chloride111 mEq/L (111 mmol/L) Normal 100-110

Magnesium1.1 mEq/dL (0.45 mmol/L)Normal 1.8-3.0

Calcium8.4 mg/dL (2.1 mmol/L) Normal 8.4-10.0

What fluid and electrolyte imbalance would the nurse relate to the client's findings?

 The nurse is caring for a client with a serum sodium concentration of 113 mEq/L (113 mmol/L). The nurse should monitor the client for the development of which condition?

The nurse should assess the patient for signs of lethargy, increasing intracranial pressure, and seizures when the serum sodium reaches what level?

You are caring for a patient who is being treated on the oncology unit with a diagnosis of lung cancer with bone metastases. During your assessment, you note the patient complains of a new onset of weakness with abdominal pain. Further assessment suggests that the patient likely has a fluid volume deficit. You should recognize that this patient may be experiencing what electrolyte imbalance? Normal CA level 8.4-10.0

A client is being treated in the ED for respiratory distress coupled with pneumonia. The client has no medical history. However, the client works in a coal mine and smokes 10 cigarettes a day. The nurse anticipates which order based on the client's immediate needs?

On arrival at the intensive care unit, a critically ill female client suffers respiratory arrest and is placed on mechanical ventilation. The physician orders pulse oximetry to monitor the client's arterial oxygen saturation (SaO2) non-invasively. Which vital sign abnormality may alter pulse oximetry values?

A 33-year-old patient presents at the clinic with complaints of weakness, incoordination, dizziness, and loss of balance. The patient is hospitalized and diagnosed with MS. What sign or symptom, revealed during the initial assessment, is typical of MS?

The nurse practitioner prescribes the medication of choice for an MS patient who is experiencing disabling episodes of muscle spasms, especially at night. Which of the following is the drug most likely prescribed in this scenario?