NSG 3870 Exam 2 | Expert-Reviewed Questions and Answers
A nurse is caring for a client who is 1 day postoperative following a subtotal
thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet,
and around the lips. For which of the following findings should the nurse assess the
client?
Chvostek's sign to check for hypocalcemia
A nurse is assessing a client who has fluid overload. Which of the following findings
should the nurse expect?
Increased HR, BP, RR
A nurse in the emergency department is caring for a client who collapsed after playing
football on a hot day. After reviewing the admission laboratory findings, the nurse
recognizes that these findings are consistent with which of the following conditions?
Na: 152
K: 3.6
Cl: 105
Glucose: 102
BUN: 18
Creatinine: 0.7
Dehydration
A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the
following findings should the nurse expect?
Muscle tremors
A nurse is caring for four clients who have drainage tubes. Which of the following client
should the nurse recognize as being at risk for hypokalemia?
The client who has a nasogastric (NG) tube to suction
A nurse is providing discharge teaching for a client who has pulmonary edema and is
about to start taking furosemide. Which of the following instructions should the nurse
include?
Eat foods that contain plenty of potassium
A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to
his NPO status. Which of the following solutions should the nurse prepare to infuse for
this client?
0.45% sodium chloride
A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports
having shortness of breath and swelling in his lower extremities. Upon assessment, the
nurse note the client has crackles in his lungs and an elevated blood pressure. The
nurse should suspect which of the following based on the client's manifestations?
Hypervolemia
A nurse is reviewing the laboratory report of a client and identifies a serum potassium
level of 6.8 mEq/L. Which of the following medications should the nurse plan to
administer?
Sodium polystyrene
A nurse is reviewing the laboratory test results of a client who is scheduled for a carotid
endarterectomy in 3 days. Which of the following results should the nurse report to the
provider?
Sodium 151 mEq/L
A nurse in a provider's office is reviewing the laboratory results of a client who takes
furosemide for hypertension. The nurse notes that the client's potassium level is 3.3
mEq/L. The nurse should monitor the client for which of the following complications?
Cardiac dysrhythmias
A nurse is caring for a client who has a prescription for potassium chloride (KCl) 20 mEq
PO daily. The nurse reviews the client's most recent laboratory results and finds the
client's potassium level is 5.2 mEq/L. Which of the following should the nurse take?
Call the prescribing physician and inform her of the client's serum potassium level
results
A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery.
Which of the following assessments is an indication that the client might be
experiencing circulatory overload?
Dyspnea
A nurse in an emergency department is caring for an infant who has a 2-day history of
vomiting and an elevated temperature. Which of the following should the nurse
recognize as the most reliable indicator of fluid loss?
Body weight
A nurse is caring for four hospitalized clients. Which of the following clients should the
nurse identify as being at risk for fluid volume deficit?
The client who has gastroenteritis and is febrile
A nurse is assessing an older adult client who is receiving IV therapy. The nurse should
recognize that which of the following findings indicates fluid volume excess?
Bounding pulse
Pitting edema
Crackles upon auscultation
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