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NLE - SCENARIO-BASED QUESTIONS (MED-SURG) PART 6

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20 questions
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  • Q1
    Which of the following is the appropriate fluid therapy for a patient with severe dehydration due to cholera?
    Blood transfusion
    Intravenous crystalloids
    Hypertonic saline solution
    Oral rehydration solution with added potassium
    60s
  • Q2
    Which of the following is the preferred fluid therapy for a patient with hypovolemic shock?
    Blood transfusion
    Intravenous crystalloids
    Colloids
    Oral rehydration solution
    60s
  • Q3
    Which of the following is considered an isotonic fluid for parenteral fluid therapy?
    5% dextrose in water
    Lactated Ringer's solution
    3% saline
    0.9% saline (normal saline)
    60s
  • Q4
    Which of the following is a potential complication of parenteral fluid therapy?
    Fluid overload
    Hypotension
    Dehydration
    Hypernatremia
    60s
  • Q5
    Which of the following is the most appropriate gauge size for an intravenous (IV) catheter used for blood transfusion?
    20 gauge
    24 gauge
    18 gauge
    22 gauge
    60s
  • Q6
    Which of the following signs would indicate fluid overload in a patient receiving parenteral fluid therapy?
    Peripheral edema
    Dry mucous membranes
    Decreased urine output
    Hypotension
    60s
  • Q7
    Which of the following is a potential complication of excessive intravenous fluid administration?
    Hypokalemia
    Hypovolemia
    Pulmonary edema
    Hypertension
    60s
  • Q8
    Which of the following is the recommended rate of intravenous fluid administration for a patient with mild dehydration?
    10 ml/kg/hr
    20 ml/kg/hr
    30 ml/kg/hr
    40 ml/kg/hr
    60s
  • Q9
    Which of the following is a potential complication of administering parenteral nutrition?
    Dehydration
    Infection
    Hyperglycemia
    Hypotension
    60s
  • Q10
    Which electrolyte imbalance is commonly associated with prolonged vomiting and can be corrected with parenteral fluid therapy?
    Hyperkalemia
    Hypokalemia
    Hypermagnesemia
    Hypernatremia
    60s
  • Q11
    A client with severe dehydration is receiving parenteral fluid therapy. The nurse observes that the client's urine output has decreased significantly. Which of the following could be the cause of this decrease?
    Overhydration
    Increase in sympathetic activity
    Low fluid intake
    Bacterial infection in the urinary tract
    60s
  • Q12
    A client with hypernatremia is prescribed hypertonic saline solution for fluid replacement. Which of the following manifestations would the nurse expect to observe in this client?
    Nausea and vomiting
    Thirst and dry mucous membranes
    Muscle weakness and fatigue
    Dyspnea and pulmonary edema
    60s
  • Q13
    A client with fluid overload is receiving parenteral fluid therapy. Which of the following could be the appropriate intervention to manage this condition?
    Reducing the frequency of vital sign monitoring
    Administering isotonic crystalloid solution
    Increasing the fluid infusion rate
    Diuretics administration
    60s
  • Q14
    A client with septic shock requires parenteral fluid therapy. Which of the following fluid types would be the most appropriate choice for this client?
    Colloid solution
    Hypotonic solution
    Hypertonic crystalloid solution
    Isotonic crystalloid solution
    60s
  • Q15
    A client with hypovolemia is ordered to receive parenteral fluid therapy. Which of the following indicators would the nurse monitor to assess the effectiveness of fluid replacement?
    Increased respiratory rate
    Decreased heart rate
    Elevated temperature
    Improved blood pressure
    60s

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