NUR390 NUR 390 EXAM 1

NUR390 / NUR 390 EXAM 1

Nursing Care of Adult I Concordia, St. Paul Actual Questions and Answers

This Exam contains:

➢ 100% Guarantee Pass.➢ Actual Questions and Answers ➢ Multiple choice (single best answer) ➢ Case Studies/Scenario-Based Questions

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A patient who has a small cell cancer of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH). The nurse would notify the health care provider about which assessment finding?

• serum hematocrit of 42%
• serum sodium of 120 mg/dL
• urinary output of 280 mL in 8 hours
• reported weight gain of 2.2 pounds

Answer

• serum sodium of 120 mg/dL

A patient with multiple draining wounds is admitted for hypovolemia.Which information would provide the most accurate way for the nurse to evaluate fluid balance?

• skin turgor
• daily weight
• urine output
• edema presence

Answer

• daily weight

The home health nurse cares for an alert and oriented older adult patient who has a history of dehydration. Which instruction would the nurse give this patient? 2 / 4

• "drink more fluids in the late evening."
• "more fluids are needed if you feel thirsty."
• "increase the fluids if your mouth feels dry."
• "if you feel confused, you need more fluids."

Answer

• "increase the fluids if your mouth feels dry."

A patient who is taking a potassium-depleting diuretic for treatment of hypertension reports generalized weakness. Which action would the nurse to take?

• Assess for facial muscle spasms.
• Ask the patient about loose stools.

c Recommend the patient avoid drinking orange juice with meals.

• Suggest that the health care provider order a basic metabolic

panel.Answer

• Suggest that the health care provider 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?

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• "I will try to drink at least 8 glasses of water every day."

b "I will use a salt substitute to decrease my sodium intake." c "I wil increase my intake of potassium-containing foods."

• "I will drink apple juice instead of orange juice for breakfast."

Answer

• "I will drink apple juice instead of orange juice for breakfast."

A patient with new-onset confusion and hyponatremia is being admitted. Which action would the charge nurse take when making room assignments?

• Assign the patient to a semiprivate room.
• Assign the patient to a room near the nurse's station.
• Place the patient in a room nearest to the water fountain.
• Place the patient on telemetry to monitor for peaked T waves.

Answer

• Assign the patient to a room near the nurse's station.

The nurse is caring for a patient who has a massive burn injury and possible hypovolemia. Which assessment data would be of most concern to the nurse?

• urine output is 30 mL/hour
• blood pressure is 90/40 mm Hg
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