1.A nurse is assessing a client who is 12hr postoperative following a colon

resection. Which of thefollowing findings should the nurse report to the surgeon?

1. Heart rate 90/min

2. Absent bowel sounds → normal findings after major bowel surgery; takes

several days to returnto normal.

3. Hgb 8.2 g/dl

4. Gastric pH of 3.0

Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.

2. A nurse is caring for a client who has diabetes insipidus. Which of the following

medications shouldthe nurse plan to administer?

a. Desmopressin

b. Regular insulin

c. Furosemide

d. Lithium carbonate

Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin

increase ADH and keepspt. on urinating

3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen

several times daily for3 years. Which of the following test should the nurse monitor?

a. Fasting blood glucose

b. Stool for occult blood

c. Urine for white blood cells

d. Serum calcium

Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).

4. A nurse in the emergency department is assessing a client. Which of the following

actions should the nursetake first (Click on the “Exhibit” button for additional

information about the client. There are three tabs that contain separate categories of

data.)

a. Obtain a sputum sample for culture

b. Prepare the client for a chest x-ray

c. Initiate airborne precautions

d. Administer ondansertron.

Rationale: No idea what the Exhibit is all about; wont be able to answer it.

5. A nurse is contacting the provider for a client who has cancer and is

experiencing breakthroughpain. Which of the following prescriptions should

the nurse anticipate?

a. Transmucosal fentanyl