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Questions and Answers
What is the priority nursing action for the client with severe preeclampsia receiving magnesium sulphate infusion?
What is the priority nursing action for the client with severe preeclampsia receiving magnesium sulphate infusion?
- Administer morphine 2 mg IV PRN in the medications administration records
- Contact the HCP and recommend discontinuing the magnesium infusion (correct)
- Contact the HCP to request an order for bloodwork to check electrolyte levels
- Assess the client's respiratory status and oxygen saturation
Which ABG result would likely be present in a client presenting in the early stages of shock?
Which ABG result would likely be present in a client presenting in the early stages of shock?
- pH: 7.22 ; PCO2: 44 mm hg ; HCO3: 12 mmol/L (correct)
- pH: 7.46 ; PCO2: 33 mm hg ; HCO3: 24 mmol/L
- pH: 7.33 ; PCO2: 48 mm hg ; HCO3: 26 mmol/L
- pH: 7.44 ; PCO2: 55 mm hg ; HCO3: 33 mmol/L
Which collaborative intervention should the nurse clarify with the healthcare provider for a client with a cervical injury at the T5 vertebra?
Which collaborative intervention should the nurse clarify with the healthcare provider for a client with a cervical injury at the T5 vertebra?
- NS 0.9% IV 1000 ml Bolus
- Norepinephrine IV infusion (correct)
- Atropine 0.5mg
- Immobilization and log roll
What information should the nurse include in discharge instructions for a client diagnosed with cirrhosis and esophageal varices?
What information should the nurse include in discharge instructions for a client diagnosed with cirrhosis and esophageal varices?
What is the primary rationale for including Ramipril (Altace) 5 mg as part of the treatment plan for a client diagnosed with heart failure?
What is the primary rationale for including Ramipril (Altace) 5 mg as part of the treatment plan for a client diagnosed with heart failure?
Which data indicates that a client admitted with a head injury is experiencing Cushing's triad? (SATA)
Which data indicates that a client admitted with a head injury is experiencing Cushing's triad? (SATA)
A patient admitted with pneumonia, hypertension, and COPD, develops signs of acute kidney injury. Which medication currently listed on the MAR is safe to be administered to the client?
A patient admitted with pneumonia, hypertension, and COPD, develops signs of acute kidney injury. Which medication currently listed on the MAR is safe to be administered to the client?
What is the most appropriate nursing response when a client with diabetes mellitus, heart failure, and chronic kidney disease expresses a desire for medical assistance in dying (MAiD)?
What is the most appropriate nursing response when a client with diabetes mellitus, heart failure, and chronic kidney disease expresses a desire for medical assistance in dying (MAiD)?
A client is admitted with a rupture pancreatic abscess and shows signs of instability. Which healthcare provider order should the nurse implement first?
A client is admitted with a rupture pancreatic abscess and shows signs of instability. Which healthcare provider order should the nurse implement first?
A client is admitted with acute pancreatitis and develops concerning signs and symptoms. What should the nurse do first?
A client is admitted with acute pancreatitis and develops concerning signs and symptoms. What should the nurse do first?
A client post hemodialysis and removal of 3 L of fluid reports symptoms. The nurse notifies the HCP and anticipates which order?
A client post hemodialysis and removal of 3 L of fluid reports symptoms. The nurse notifies the HCP and anticipates which order?
A client with chronic kidney disease self-managing peritoneal dialysis at home. Which data obtained at the follow-up clinic would indicate complications of the therapy? (SATA)
A client with chronic kidney disease self-managing peritoneal dialysis at home. Which data obtained at the follow-up clinic would indicate complications of the therapy? (SATA)
A young client with increased ICP secondary to cerebral edema and an occipital fracture is now showing signs and symptoms of acute kidney injury. In relation to the change in status, what is most concerning for this client?
A young client with increased ICP secondary to cerebral edema and an occipital fracture is now showing signs and symptoms of acute kidney injury. In relation to the change in status, what is most concerning for this client?
What ABG result reflects early onset ARDS?
What ABG result reflects early onset ARDS?
What is the therapeutic effect of lactulose in liver failure?
What is the therapeutic effect of lactulose in liver failure?
What should the nurse do if a client with liver cirrhosis suddenly vomits bright blood?
What should the nurse do if a client with liver cirrhosis suddenly vomits bright blood?
What is the purpose of intravenous vasopressin in a client with esophageal varices causing upper GI hemorrhage?
What is the purpose of intravenous vasopressin in a client with esophageal varices causing upper GI hemorrhage?
What signs indicate kidney rejection post-transplant?
What signs indicate kidney rejection post-transplant?
What is indicated by an irregular pulse in a client with heart failure and acute kidney injury?
What is indicated by an irregular pulse in a client with heart failure and acute kidney injury?
What is recommended to lower the risk for necrotizing enterocolitis in a preterm infant unable to breastfeed?
What is recommended to lower the risk for necrotizing enterocolitis in a preterm infant unable to breastfeed?
What do new onset swollen ankles, jugular venous distention, decreased urine output, and increased serum creatinine indicate in a client?
What do new onset swollen ankles, jugular venous distention, decreased urine output, and increased serum creatinine indicate in a client?
What is the effective use of propranolol indicated by in a client with liver cirrhosis and esophageal varices?
What is the effective use of propranolol indicated by in a client with liver cirrhosis and esophageal varices?
What is essential to minimize the risk of increased intracranial pressure post-craniotomy?
What is essential to minimize the risk of increased intracranial pressure post-craniotomy?
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Study Notes
Nursing Exam Practice Questions Summary
- Oxygen therapy with nasal prongs is used to maintain O2 saturation >92%
- Signs of magnesium toxicity in pregnancy include absent deep tendon reflexes, respiratory depression, and hypotension
- To minimize the risk of increased intracranial pressure post-craniotomy, fluid balance maintenance, continuous oxygen therapy, and ICP monitoring are essential
- The ABG result reflecting early onset ARDS would show a pH of 7.22, PCO2 of 60 mmHg, and HCO3 of 33 mmol/L
- Therapeutic effect of lactulose in liver failure is indicated by at least 3 daily bowel movements
- Intravenous vasopressin is used to constrict splanchnic blood vessels in a client with esophageal varices causing upper GI hemorrhage
- In a client with liver cirrhosis who suddenly vomits bright blood, the nurse should notify the healthcare provider immediately
- Signs of kidney rejection post-transplant include fever, weight gain, decreased urinary output, and increased BP
- An irregular pulse in a client with heart failure and acute kidney injury warrants a review of the client's lab work for electrolyte imbalances
- To lower the risk for necrotizing enterocolitis in a preterm infant unable to breastfeed, initiating early enteral administration of breast milk is recommended
- New onset swollen ankles, jugular venous distention, decreased urine output, and increased serum creatinine indicate signs and symptoms of left heart failure, decreased renal blood flow, risk for acute tubular necrosis, increased cardiac workload, and fluid volume overload
- In a client with liver cirrhosis and esophageal varices, the effective use of propranolol is indicated by the absence of signs of gastrointestinal bleeding and dysrhythmias
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