A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of

the following findings should the nurse report to the surgeon?

a. Heart rate 90/min

b. Absent bowel sounds

c. Hgb 8.2 g/dl

d. Gastric pH of 3.0

Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible

hemorrhaging.

2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications

should the nurse plan to administer?

a. Desmopressin

b. Regular insulin

c. Furosemide

d. Lithium carbonate

Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin

increase ADH and to stop patient on urinating.

3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times

daily for 3 years. Which of the following test should the nurse monitor?

a. Fasting blood glucose

b. Stool for occult blood - GI bleed

c. Urine for white blood cells

d. Serum calcium

Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody,

tarry stools, abdominal pain)

4. A nurse in the emergency department is assessing a client. Which of the following actions should

the nurse take first (Click on the “Exhibit” button for additional information about the client.

There are three tabs that contain separate categories of data.)

a. Obtain a sputum sample for culture

b. Prepare the client for a chest x-ray

c. Initiate airborne precautions

d. Administer ondansetron.