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?

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? 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?

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? D.

Potassium 5.2 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 monitorthe client's serum potassium level

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 medicationregimen? a. The client has a negative sputum

culture

A nurse is caring for a client who develops an anaphylactic reaction to IV

administration.After assessing the client's respiratory status and stopping

the medication infusion.

Which of the following actions should the nurse take next? D. Administer

epinephrine IM

A nurse is caring for a client who is taking sertraline and reports a desire to

begin takingsupplements. Which of the following supplements should the

nurse advise the client to avoid? a. St. John's Wort

A nurse is caring for a client who has heart failure and a new prescription