NS 233 Exam 2 Latest Update -

NS 233 Exam 2 Latest Update - Exam from Credible Source with 60 Questions and 100% Verified Detailed Correct Answers Guaranteed

A 71-year-old patient with Alzheimer's Disease (AD) who is being admitted to a long- term care facility has had several episodes of wandering away form home. Which action will the nurse include in the plan of care? - CORRECT ANSWER: place the patient in a room close to the nurses' station

A common collaborative problem related to both hyperkalemia and hypokalemia is

which potential complication? - CORRECT ANSWER: dysrhythmias

A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at work." Which response by the nurse is best? -

CORRECT ANSWER: Epilepsy usually can be well controlled with medications

A long-term care patient with moderate dementia develops increased restlessness and

agitation. The nurse initial action should be to? - CORRECT ANSWER: assess for

factors that might be causing discomfort

A nurse is admitting a client who reports nausea, vomiting, and weakness. The client has dry oral mucous membranes. Which of the following findings should the nurse

identify as manifestations of fluid volume deficit? - CORRECT ANSWER: decreased

skin turgor, concentrated urine

A nurse is admitting an older adult client who is experiencing dyspnea, weakness, weight gain of 2lb, and 1+ bilateral edema of the lower extremities. The client has a temperature of 37.2 °C, pulse of 96 beats per minute, 26 respirations per minute, oxygen saturation of 94% on 3L via nasal cannula, and blood pressure of 152/96. Which of the following manifestations of fluid volume excess should the nurse expect? - CORRECT ANSWER: dyspnea, edema, hypertension, weakness 1 / 2

A nurse is assessing a client for Trousseau's sign. Which of the following techniques

should the nurse use to perform this test? - CORRECT ANSWER: apply a blood

pressure cuff to the patients arm

A nurse is assessing a client who is dehydrated for fluid volume deficit. Which of the

following findings should the nurse expect in the client? - CORRECT ANSWER:

tachycardia

A nurse is caring for a client who has a nasogastric tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalances? -

CORRECT ANSWER: hyponatremia

A nurse is caring for a client who has a serum potassium of 5.4 mEq/L. The nurse

should assess for which of the following manifestations? - CORRECT ANSWER: ECG

changes

A nurse is caring for a client who has a serum sodium level of 133 mEq/L and serum potassium level of 3.4 mEq/L. The nurse should recognize that which of the following

treatments can result in these laboratory findings? - CORRECT ANSWER: three tap

water enemas

A nurse is caring for a patient with increased intracranial pressure. Which action is

considered unsafe? - CORRECT ANSWER: withholding sedative and analgesic

medications

A nursing measure that is indicated to reduce the potential for seizures and increased intracranial pressure in the patient with bacterial meningitis is? - CORRECT ANSWER: controlling fever with prescribed drugs and cooling techniques

A patient has a tonic-clonic seizure while the nurse is in the patient's room. Which action should the nurse take? - CORRECT ANSWER: time and observe and record the details of the seizure and postictal state

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