1. A nurse isassessing aclient who is receiving intravenous therapy. The nurse should identifywhich of the

following findings asa manifestation of fluid volume excess?

a. Decreased bowelsounds

b. Distended neckveins

c. Bilateral muscle weakness

d. Thread pulse

2. A nurse iscaring fora client who has hyponatremiaand is receiving an infusion ofa prescribedhypertonic

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. Cardiacarrhythmiasabsent

3. A nurse is teaching aclient who hasa new prescription fora nitroglycerin transdermal patch.Which of the

following instructions should the nurse include?

a. “Discontinue the patch ifyou experience a headache.”

b. “Applya new patch if you have chest pain.”

c. “Cover the patch with dry gauze when taking ashower.”

d. “Remove the patch prior to going to bed.”

4. 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 tothe provider?

a. Creatinine 0.72 mg/dL

b. Sodium 138 mEq/L

c. Magnesium 2 mEq/L

d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the

clientriskforfatalcardiac dysrhythmias. Kayexalate is used to decrease theserum potassium level,so

the PN should monitor the client'sserum potassium level

5. A nurse iscaring foraclient who has tuberculosisand is taking isoniazid and rifampin. Which ofthe following

outcomes indicates that the client isadhering to the medication regimen?

a. The client hasa negative sputum culture

b. The client tests negative for HIV

c. The client has a positive purified protein derivative test

d. The client’s liverfunction testresultsare within the expected reference range

6. A client iscaring foraclient who developsan anaphylactic reaction to IV administration. Afterassessing the

client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse

take next?

a. Replace the infusion with 0.9%sodium chloride

b. Give diphenhydramine IM

c. Elevate the client’s legsand feet

d. Administer epinephrine IM