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? 

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