NCLEX Questions F&E

NCLEX Questions F&E 3.5 (2 reviews) Students also studied Terms in this set (95) Science MedicineNursing Save Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview NCLEX Questions for Renal Disorder...40 terms mdunlap5920Preview Hyponatremia & Hypernatremia NC...11 terms dhermsyPreview Exam 2 34 terms ton

• A patient is admitted for hypovolemia associated with

multiple draining wounds. Which assessment would be the most accurate way for the nurse to evaluate fluid balance?Skin turgor Daily weight Presence of edema Hourly urine output Daily weight

• The home health nurse cares for an alert and oriented

older adult patient with a history of dehydration. Which instructions should the nurse give to this patient related to fluid intake?"Increase fluids if your mouth feels dry."More fluids are needed if you feel thirsty." "Drink more fluids in the late evening hours." "If you feel lethargic or confused, you need more to drink." "Increase fluids if your mouth feels dry.

• A patient who is taking a potassium-wasting diuretic for

treatment of hypertension complains of generalized weakness. It is most appropriate for the nurse to take which action?Assess for facial muscle spasms.Ask the patient about loose stools.Suggest that the patient avoid orange juice with meals.Ask the health care provider to order a basic metabolic panel Ask the health care provider to order a basic metabolic panel

• Spironolactone (Aldactone), an aldosterone

antagonist, is prescribed for a patient. Which statement by the patient indicates that the teaching about this medication has been effective?"I will try to drink at least 8 glasses of water every day." "I will use a salt substitute to decrease my sodium intake." "I will increase my intake of potassium-containing foods." "I will drink apple juice instead of orange juice for breakfast." "I will drink apple juice instead of orange juice for breakfast."

• IV potassium chloride (KCl) 60 mEq is prescribed for

treatment of a patient with severe hypokalemia. Which action should the nurse take?Administer the KCl as a rapid IV bolus.Infuse the KCl at a rate of 10 mEq/hour.Only give the KCl through a central venous line.Discontinue cardiac monitoring during the infusion.Infuse the KCl at a rate of 10 mEq/hour.

• 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?Infuse 5?xtrose in water at 125 mL/hr.Administer IV morphine sulfate 4 mg every 2 hours PRN.Give IV metoclopramide (Reglan) 10 mg every 6 hours PRN for nausea.Administer 3% saline if serum sodium decreases to less than 128 mEq/L.Administer 3% saline if serum sodium decreases to less than 128 mEq/L.

• 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?Lung sounds Urinary output Peripheral pulses Peripheral edema Lung sounds

• A patient who has been receiving diuretic therapy is

admitted to the emergency department with a serum potassium level of 3.0 mEq/L. The nurse should alert the health care provider immediately that the patient is on which medication?Oral digoxin (Lanoxin) 0.25 mg daily Ibuprofen (Motrin) 400 mg every 6 hours Metoprolol (Lopressor) 12.5 mg orally daily Lantus insulin 24 U subcutaneously every evening Oral digoxin (Lanoxin) 0.25 mg daily

• 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?Maintain the patient on bed rest.Auscultate lung sounds every 4 hours.Monitor for Trousseau's and Chvostek's signs.Encourage fluid intake up to 4000 mL every day.Encourage fluid intake up to 4000 mL every day.

• A hospitalized patient with possible renal insufficiency

after coronary artery bypass surgery is scheduled for a creatinine clearance test. Which equipment will the nurse need to obtain?Urinary catheter Cleaning towelettes Large container for urine Sterile urine specimen cup Large container for urine

• Which medication taken at home by a 47-year-old

patient with decreased renal function will be of most concern to the nurse?ibuprofen (Motrin) warfarin (Coumadin) folic acid (vitamin B9) penicillin (Bicillin LA) .ibuprofen (Motrin)

• A female patient with a suspected urinary tract

infection (UTI) is to provide a clean-catch urine specimen for culture and sensitivity testing. To obtain the specimen, the nurse will have the patient empty the bladder completely, then obtain the next urine specimen that the patient is able to void.teach the patient to clean the urethral area, void a small amount into the toilet, and then void into a sterile specimen cup.insert a short sterile "mini" catheter attached to a collecting container into the urethra and bladder to obtain the specimen.clean the area around the meatus with a povidone-iodine (Betadine) swab, and then have the patient void into a sterile container.teach the patient to clean the urethral area, void a small amount into the toilet, and then void into a sterile specimen cup.

• When working in the urology/nephrology clinic, which

patient could the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?Patient who is scheduled for a renal biopsy after a recent kidney transplant Patient who will need monitoring for several hours after a renal arteriogram Patient who requires teaching about possible post- cystoscopy complications Patient who will have catheterization to check for residual urine after voiding Patient who will have catheterization to check for residual urine after voiding

• After the insertion of an arteriovenous graft (AVG) in

the right forearm, a 54-year-old patient complains of pain and coldness of the right fingers. Which action should the nurse take?Teach the patient about normal AVG function.Remind the patient to take a daily low-dose aspirin tablet.Report the patient's symptoms to the health care provider.Elevate the patient's arm on pillows to above the heart level.Report the patient's symptoms to the health care provider.

• Which information will the nurse monitor in order to

determine the effectiveness of prescribed calcium carbonate (Caltrate) for a patient with chronic kidney disease (CKD)?Blood pressure Phosphate level Neurologic status CBC status Phosphate level

• A 64-year-old male patient who has had progressive

chronic kidney disease (CKD) for several years has just begun regular hemodialysis. Which information about diet will the nurse include in patient teaching?Increased calories are needed because glucose is lost during hemodialysis.Unlimited fluids are allowed because retained fluid is removed during dialysis.More protein is allowed because urea and creatinine are removed by dialysis.Dietary potassium is not restricted because the level is normalized by dialysis.More protein is allowed because urea and creatinine are removed by dialysis.

• A female patient with chronic kidney disease (CKD) is

receiving peritoneal dialysis with 2 L inflows. Which information should the nurse report immediately to the health care provider?The patient has an outflow volume of 1800 mL.The patient's peritoneal effluent appears cloudy.The patient has abdominal pain during the inflow phase.The patient's abdomen appears bloated after the inflow.The patient's peritoneal effluent appears cloudy.A patient is admitted to the emergency department with hypovolemia. Which IV solution would the nurse anticipate administering?

• Lactated Ringer's solution
• 10?xtrose in water
• 3.3% sodium chloride
• 0.45% sodium chloride

lactated Ringer's solution (isotonic, balanced electrolyte solution that can expand plasma volume and help restore electrolyte balance)