Adult II Exam #1

Which diagnostic tests are correlated with the diagnosis of dehydration? Select all that apply.

• BUN: 30

• BUN: 8

• specific gravity: 1.050

• creatinine: 0.6

Which of the following tests is considered the simplest and most accurate methods of determining a patient's hydration status?

• BUN

• Hematocrit

• Specific gravity

• Allen test

Jeron is admitted to the hospital due to bacterial pneumonia. He is febrile, diaphoretic, and has shortness of breath and asthma. Which goal is the most important for the client?

• Prevention of fluid volume excess

• Maintenance of adequate oxygenation

• Education about infection prevention

• Pain reduction

A client was noted to be displaying facial grimaces after the nurse assessed his complaints of pain rated as 8 on a scale of 1 (no pain) 10 10 (worst pain). Which intervention should the nurse do?

• Administering the client's ordered pain medication immediately.

• Using guided imagery instead of administering pain medication.

• Using therapeutic conversation to try to discourage pain medication.

• Attempting to rule out complications before administering pain medication.

A patient with tented skin turgor, dry mucous membranes, and decreased urinary output is under nurse's care. Which nursing intervention should be included in the care plan of this patient?

• Administering I.V. and oral fluids.

• Clustering necessary activities throughout the day.

• Assessing color, odor, and amount of sputum.

• Monitoring serum albumin and total protein levels.

A patient is admitted to the hospital due to having a lower than normal potassium level in her bloodstream. Her medical history reveals vomiting and diarrhea prior to hospitalization. Which foods should the nurse instruct the client to increase

• Whole grains and nuts

• Milk products and green, leafy vegetables

• Pork products and canned vegetables

• Orange juice and potatoes

a first year nursing student, was rushed to the clinic department due to hyperventilation. Which nursing intervention is the most appropriate for the client who is subsequently developing respiratory alkalosis?

• Administering sodium chloride I.V.

• Encouraging slow, deep breaths.

• Preparing to administer sodium bicarbonate.

• Administer low-flow oxygen therapy.

Lab tests revealed that a patient's sodium level is 170 mEq/L. Which clinical manifestation would the nurse expect to assess?

• Tented skin turgor and thirst

• Muscle twitching and tetany

• Fruity breath and Kussmaul's respirations

• Muscle weakness and paresthesia

A client has a history of chronic obstructive pulmonary disease and has the following arterial blood gas results: partial pressure of oxygen (PO2), 55 mm Hg, and partial pressure of carbon dioxide (PCO2), 60 mm Hg. When attempting to improve the client’s blood gas values through improved ventilation and oxygen therapy, which is the client’s primary stimulus for breathing?

• High PCO2

• Low PO2

• Normal pH

• Normal bicarbonate (HCO3)

A client with a very dry mouth, skin, and mucous membranes is diagnosed with dehydration. Which intervention should the nurse perform when caring for a client diagnosed with fluid volume deficit?

• Assessing urinary intake and output.

• Obtaining the client's weight weekly at different times of the day.

• Monitoring arterial blood gas (ABG) results.

• Maintaining I.V. therapy at the keep-vein-open rate.