1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should iden9fy

which of the following ;ndings as a manifesta9on of =uid volume excess?

a. Decreased bowel sounds

b. Distended neck veins

c. Bilateral muscle weakness

d. Thread pulse

2.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed

hypertonic solu9on. Which of the following ;ndings should indicate to the nurse that the

treatment is eFec9ve?

a. Absent Chvostek’s sign

b. Improved cogni?on

c. Decreased vomi9ng

d. Cardiac arrhythmias absent

3.) A nurse is teaching a client who has a new prescrip9on for a nitroglycerin transdermal patch.

Which of the following instruc9ons should the nurse include?

a. “Discon9nue 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.”

4.) A nurse is reviewing he laboratory results of a client who has a prescrip9on for sodium

polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to

the provider?

a. Crea9nine 0.72 mg/dL

b. Sodium 138 mEq/L

c. Magnesium 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

5.) 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 medica9on regimen?

a. The client has a nega?ve sputum culture

b. The client tests nega9ve for HIV

c. The client has a posi9ve puri;ed protein deriva9ve test

d. The client’s liver func9on test results are within the expected reference range

6.) A client is caring for a client who develops an anaphylac?c reac9on to IV administra9on. A]er

assessing the client’s respiratory status and stopping the medica9on infusion. Which of the

following ac9ons should the nurse take next?