Care of Clients with Physiologic and Psychosocial Alterations A Quiz 9

A 74-year old client is admitted with a diagnosis of a fractured hip and renal failure due to dehydration. For 24 hour, she has received 1500ml of IV fluid. Her next serum electrolyte series reflects hyponatremia. The nurse recognizes that this may result from an increase in:

A male client with a history of heart failure and atrial fibrillation comes to the clinic for his regular visit. The nurse is performing assessment on the client and found out that he is weight is higher that his usual weight. The nurse interprets that the most likely cause of this sudden weight gain would be:

A physician has ordered 1L TPN in 12 hours to be infused via a subclavian catheter. When a client is to receive a TPN, it is important for the nurse to assess the:

When administering albumin intravenously, the nurse is aware that the shift of the body fluids occurs by the process of:

A client is to receive an IV solution. When evaluating a clients response to fluid replacement therapy, the observation that indicates adequate tissue perfusion to vital organs would be:

The nurse is attending five patients who have follow-up visit in the clinic. The nurse reviews the health care records of the clients and determines which of the following individuals is at the highest risk for development of an Integumentary disorder?

A client is scheduled for a skin biopsy. The client is quite nervous about the procedure and asks the nurse how painful the procedure is. The most appropriate response of the nurse is;

A client who undergone skin biopsy is for discharge. The nurse is reviewing the discharge instruction for the client. Which of the following statements, if made by the client, would indicate a need for further instruction?

A male client is admitted to the emergency room. The nurse assists the physician to examine the skin of the client with a Wood’s Light. The nurse includes which of the following in the plan of care for this procedure?

A client comes to the clinic for a check up and complains skin irritation. The client is advised to be back in the clinic 1 week for scratch skin test. The nurse provides which instruction to the client?