30. Patient X is diagnosed with constipation.
As a the nurse takes her blood pressure, she has a
knowledgeable nurse, which nursing spasm in her wrist and hand. The nurse suspects:
intervention is appropriate for maintaining normal a. Hyperkalemia
bowel function? b. Hypermagnesemia
a. Assessing dietary intake c. Hypocalcemia
b. Decreasing fluid intake d. hypophosphatemia
c. Providing limited physical activity
d. Turning, coughing, and deep breathing 70. For a nurse caring for a client during severe
episodes of hypocalcemia, one of the
33. A patient with tented skin turgor, dry mucous main focus of the teaching would be the inhibition
membranes, and decreased urinary output is which of the following substances :
under nurse Mark's care. Which nursing a. Alcohol & Caffeine
intervention should be included in the care plan of b. Ascorbic acid
Mark for his patient? c. Fatty food
a. Administering I.V. and oral fluids. d. Vitamin D
b. Clustering necessary activities throughout
the day 76. The parathyroid hormone plays a major role in
c. Assessing color, odor, and amount of the calcium regulation of the body. The further
sputum effects of the hormone in excess would be
d. Monitoring serum albumin and total a. Increased gastric and intestinal absorption
protein levels of calcium
b. Decreased intestinal and oral absorption
38. Which client situation requires the nurse to of calcium
discuss the importance of avoiding foods c. Increased intestinal and renal calcium
high in potassium? absorption
a. A 14-year-old who is taking diuretics. d. None of the above
b. A 16-year-old with ileostomy
c. A 16-year old with metabolic acidosis 85. A patient is being discharged home after
d. 18-year-old who has renal disease hospitalization with hypocalcemia. Which
statement by the patient indicates she understood
42. The physician has ordered IV replacement of the dietary instructions?
potassium for a patient with severe a. "I will avoid sardines.
hypokalemia. The nurse would administer this: b. "T'll avoid salt and Vitamin-D
a. By rapid bolus supplements."
b. Diluted in 100 ce over 1 hour c. "I will tell my husband to only purchase
c. Diluted in 10 cc over 10 minutes skim milk."
d. IV push d. "I will be sure to eat lots of cheese, tofu
and spinach."
49. What characterizes the process of diffusion?
a. Solutes move from an area of higher 92. A nurse is directed to administer a hypotonic
solute concentration to an area of lower intravenous solution. Looking at the
Concentration following labeled solutions, the nurse should
b. There is no movement of solutes choose:
c. Solutes move from an area of lower a. 0.33% sodium chloride.
concentration to an area of higher b. 0.90% sodium chloride.
concentration c. 5% dextrose in normal saline solution.
d. Hydrostatic pressure forces solutes d. 5% dextrose in water.
through a semipermeable membrane
ANSWER: 55. nurse caring for a group of clients reviews the
65. A nurse taking care of a 65-year old female electrolyte laboratory results and noted a sodium
patient in a medical surgical unit who is n renal level of 130 mEq/L on one client's laboratory
failure. During the assessment the patient reports. The nurse understands that which client
complains of tingling in her lips and fingers. When
is at most risk for the development of sodium
value at this level?
a. the client with renal failure
b. the client who is taking diuretics
c. the client with hyperaldosteronism
d. the client who is taking corticosteroids
62. The nurse is caring for a client with
congestive heart failure. On assessment, the
nurse notes that the client is dyspneic and that
crackles are audible on auscultation. The nurse
suspects excess fluid volume. What additional
signs would the nurse expect to note in this client
if excess fluid volume is present?
a. Weight loss
b. Flat neck and hand veins
c. An increase in blood pressure
d. A decreased central venous pressure
(CVP)
36. The nurse is infusing a hypotonic solution into
her client. The nurse knows that this type of
solution will affect her client’s fluid status by:
a. Decreasing water content in the blood
vessels
b. Not changing water content in the blood
vessel
c. Increasing water content in the blood
vessels
d. Drawing water into the blood vessels