A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? • Decreased bowel sounds • Distended neck veins • Bilateral muscle weakness • Thread pulse • A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? • Absent Chvostek’ssign • Improved cognition • Decreased vomiting • Cardiac arrhythmias absent • A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? • “Discontinue the patch if you experience a headache.” • “Apply a new patch if you have chest pain.” • “Cover the patch with dry gauze when taking a shower.” • “Remove the patch prior to going to bed.” • A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? • Creatinine 0.72 mg/dL • Sodium 138 mEq/L • Magnesium 2 mEq/L • Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level,so the PN should monitor the client's serum potassium level • A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? • The client has a negative sputum culture • The client tests negative for HIV • The client has a positive purified protein derivative test