Solutions - Chapter 52 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. The nurse would assess for signs of hypomagnesemia in which of the following clients? Select all that apply.
1.  A client with renal failure
2.  A client with pancreatitis
3.  A client taking magnesium-containing antacids
4.  A client with excessive nasogastric drainage
5.  A client with chronic alcoholism
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1ACT. Offer suggestions for ways to help Mrs. Chapman increase her oral intake.
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1TYK. An older nursing home resident has refused to eat or drink for several days and is admitted to the hospital. The nurse should expect which assessment finding?
1.  Increased blood pressure
2.  Weak, rapid pulse
3.  Moist mucous membranes
4.  Jugular vein distention
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2ACT. Mrs. Chapman asks why you weigh her every morning. How do you respond?
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2TYK. A man brings his elderly wife to the emergency department. He states that she has been vomiting and has had diarrhea for the past 2 days. She appears lethargic and is complaining of leg cramps. What should the nurse do first?
1.  Start an IV.
2.  Review the results of serum electrolytes.
3.  Offer the woman foods that are high in sodium and potassium content.
4.  Administer an antiemetic.
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3TYK. The nurse administers an IV solution of D5 1/2NS to a postoperative client. This is classified as what type of intravenous solution? __________
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4TYK. An older client comes to the emergency department experiencing chest pain and shortness of breath. An arterial blood gas is ordered. Which of the following ABG results indicates respiratory acidosis?
1.  pH 7.54; PaCO2 28 mmHg; HCO3 22 mEq/L
2.  pH 7.32; PaCO2 46 mmHg; HCO3 24 mEq/L
3.  pH 7.31; PaCO2 35 mmHg; HCO3 20 mEq/L
4.  pH 7.50; PaCO2 37 mmHg; HCO3 28 mEq/L
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5TYK. The intake and output (l&O) record of a client with a nasogastric tube who has been attached to suction for 2 days shows greater output than input. Which nursing diagnoses are most applicable? Select all that apply.
1.  Deficient Fluid Volume
2.  Risk for Deficient Fluid Volume
3.  Impaired Oral Mucous Membranes
4.  Impaired Gas Exchange
5.  Decreased Cardiac Output
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6TYK. Which client statement indicates a need for further teaching regarding treatment for hypokalemia?
1.  “I will use avocado in my salads.”
2.  “I will be sure to check my heart rate before I take my digoxin.”
3.  “I will take my potassium in the morning after eating breakfast.”
4.  “I will stop using my salt substitute.”
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7TYK. An older man is admitted to the medical unit with a diagnosis of dehydration. Which sign or symptom is most representative of a sodium imbalance?
1.  Hyperreflexia
2.  Mental confusion
3.  Irregular pulse
4.  Muscle weakness
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8TYK. The client’s arterial blood gas results are pH 7.32; PaCO2 58; HCO3 32. The nurse knows that the client is experiencing which acid-base imbalance?
1.  Metabolic acidosis
2.  Respiratory acidosis
3.  Metabolic alkalosis
4.  Respiratory alkalosis
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9TYK. A client is admitted to the hospital for hypocalcemia. Nursing interventions relating to which system would have the highest priority?
1.  Renai
2.  Cardiac
3.  Gastrointestinal
4.  Neuromuscular
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