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 - b. Distended neck veins

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 - b. Improved cognition

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." - d. "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?

a. Creatinine 0.72 mg/dL

b. Sodium 138 mEq/L

c. Magnesium 2 mEq/L