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?

a. Decreased bowel sounds

b. Distended neck veins

c. Bilateral muscle weakness

d. Thread pulse

(ANS- b

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?

a. Absent Chvostek's sign

b. Improved cognition

c. Decreased vomiting

d. Cardiac arrhythmias absent

(ANS- b

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?

a. "Discontinue the patch if you experience a headache."

b. "Apply a new patch if you have chest pain."

c. "Cover the patch with dry gauze when taking a shower."

d. "Remove the patch prior to going to bed."

(ANS- d