Author: Anonymous

A nurse is caring for a client who has experienced significant blood loss following a traumatic injury. The client is tachycardic, pale, and has an SpO₂ of 89% on room air. Which of the following best explains the client’s impaired gas exchange?

A nurse is assessing a patient admitted with pneumonia.  Which clinical manifestations would the nurse expect to find.  (Select all that apply).

The concentration of oxygen at room air is:

A client who has a history of chronic lung disease is admitted to the hospital with possible pneumonia. Respirations are shallow and breath sounds are diminished. Blood gases reveal: pH – 7.25, PCO2 – 70, HCO3- 24.  What acid-base imbalance is this client experiencing?

Place these nursing actions in order of proper sequence for preparing an IV solution and tubing when initiating an intravenous infusion.  When recording your answer below, enter the number only, that corresponds to your choice.  1. Clamp tubing, uncap spike, and insert spike into entry site on the solution bag as directed by the manufacturer 2. Verify the primary care providers orders, gather all supplies and wash your hands, identify the patient 3. Label tubing with date of initiation, due date to replace tubing, and name. 4. Maintain aseptic technique when opening sterile packages and IV solutions 5. Prime the tubing eliminate all air, by releasing the clamp that allows fluid to move through the tubing prior to initiating the infusion 6. Squeeze the drip chamber and allow it to fill one-half full or as indicated by the manufacturer and open the IV tubing clamp.

A nurse in the pediatric unit is caring for a 4-month-old infant with bronchiolitis. Which of the following findings would indicate that the infant is experiencing respiratory distress (Select all that apply).

The nurse is caring for a client with a sodium level of 152. What is an appropriate dietary choice for this client?

While assessing a client’s peripheral IV site, the nurse observes edema and coolness around the insertion site. How should the nurse document this observation?

The nurse is performing an admission assessment on a 79-year-old client newly admitted for end-stage liver disease. What principle should guide the nurse’s assessment of the client’s skin turgor?

Harriet, 30 years old, has been admitted to the burn treatment center with full-thickness burns over 30% of her upper body. Her diagnosis is consistent with extracellular fluid volume deficit.  What symptoms would indicate to the nurse that the patient may be experiencing fluid volume deficit.  (Select all that apply)