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A client with severe vomiting for 48 hours presents with dizziness and muscle cramps.  The blood pressure is 88/45, HR is 102 bpm.  ABG results are: ABGs pH 7.48 PaCO₂ 47 mmHg HCO₃⁻ 30 mEq/L What nursing interventions does the nurse anticipate?

The exam is 110 minutes. You will have an additional 15 minutes to print (if available), scan and upload. If you submit after the allotted time, your exam will be considered late and may incur a late penalty. After you complete your exam, scan your solutions into one .pdf file. Please upload your completed exam file by clicking on the “Add File” button underneath Question 1’s blank answer field. Download exam file here: CSCI677 Exam 2 1. This is a “partially open notes” examination; you are allowed to have notes hand-written on both sides of one letter size (8.5” x 11”) sheet of paper. Access to any other notes, books or any other material, in any form, is prohibited.2. You must give answers on the provided sheets only.3. ANSWER ALL QUESTIONS. The relative weights for each question are given with the question description.4. TA has been instructed to not answer any questions or provide clarifications, except in the case of a serious error in a question. If you find a question statement ambiguous, or incompletely specified, make your own best interpretation and justify it5. Hints, if any, are given for your convenience only; you are not required to follow them.6. It is very important to be precise but concise in your answers. You need to show that you understand the issues related to the question; long essays on unrelated issues will not be rewarded. If your exam utilizes Gradescope’s Student App, do NOT upload to Gradescope. You will only upload your scanned exam file to this D2L quiz. 

58. Which precaution would the nurse take to prevent infections during injection administration? Select all that apply.

56. The nurse administered a metoprolol 100 mg tablet for hypertension. The tablet was dispensed with the intention it would be divided in half for the prescribed dose of 50 mg. Place in the correct order the actions the nurse would perform. 1. Review the event with the health care team. 2. Report the event to the health care provider. 3. Assess the patient’s blood pressure. 4. Document the medication administered and response.

67. Which drug acts by blocking serotonin receptors in the gastrointestinal tract, vomiting center of the brain, and chemoreceptor trigger zone (CTZ)?  

66. A nurse is instructing the client on the use of fecal softeners. The nurse is correct to state which of the following action?

50. A nurse is preparing to administer an intramuscular (IM) injection to an average-sized adult patient. Which needle gauge and length is most appropriate?

94. A parent frantically enters the clinic carrying a 6-month-old child, stating that the child has been crying continuously for several hours and will not eat or sleep. The nurse notices the infant is slightly cyanotic around the mouth.  What other sign would be an indication of respiratory distress? Select all that apply.  

69. Which condition is an adverse effect of sulfonamide antibiotics?

90. Which action would the nurse include when auscultating the anterior chest of a patient for breath sounds? Select all that apply.