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1 Not yet Points out of 1.00 Flag text The nurse is providing discharge teaching to the client with uric acid renal calculi. Which statement by the client indicates the client understands the prescribed diet? Select one: a. “I will remove milk and other dairy products from my diet.” b. “I should avoid fresh fruits and vegetables in my diet.” c. “I should limit my intake of red meat and fish in my diet.” d. “I must not include chocolate, green beans, and strawberries in my diet.” 2 Not yet Points out of 1.00 Flag text The nurse is caring for a client with renal calculi who is scheduled for an extracorporeal shock wave lithotripsy (ESWL). Which is the nurse’s priority action? Select one: a. Notify the physician of hematuria. b. Monitor the continuous bladder irrigation. c. Strain the urine carefully for stone fragments. d. Administer allopurinol (Zyloprim). 3 Not yet Points out of 1.00 Flag text The nurse is caring for a client with calcium oxalate renal calculi. Which interventions would the nurse include in the plan of care? Drag and drop to select 5 that apply. blank Strain all urine Record intake and output blank blank Avoid protein intake Limit fluid intake Insert a foley catheter Limit sodium intake to 3g/day Test the urine pH Administer Morphine PRN as ordered 4 Not yet Points out of 1.00 Flag text The nurse is caring for a client with benign prostatic hyperplasia (BPH). Which clinical manifestations would the nurse anticipate? Drag and drop the manifestations to correspond with BPH. Polyuria Nocturia Difficulty starting urinary stream Urinary Frequency Fever Hematuria Overflow incontinence Flank pain Hypertension 5 Not yet Points out of 1.00 Flag text The nurse is caring for a client who is receiving continuous bladder irrigation (CBI). Which of the following will the nurse include in the plan of care for this client? Drag and drop to select 5 that apply. blank blank blank blank blank Monitor vital signs Monitor laboratory results daily Record strict intake and output Clamp foley tubing if there are clots in urine Administer pain medication Irrigate foley catheter PRN Weight client daily Strain all urine 6 Not yet Points out of 1.00 Flag text The nurse is preparing discharge instructions for a client with a new ileal conduit. Which instructions would the nurse include in the discharge plan? Drag and drop 5 instructions that would apply. blank blank blank blank blank Change the appliance every 3‑7 days Include aspirin tablets when cleaning pouch Monitor for discoloration Use skin barrier cream Empty pouch when 1/3 full Drink 8‑10 glasses of fluids daily Use moisturizing soaps to clean around stoma 7 Not yet Points out of 1.00 Flag text The nurse is caring for a client who was trapped in an elevator and had no access to fluids for several hours. the client is being admitted to the hospital for dehydration. Which of the following interventions will the nurse anticipate including in the client’s plan of care? Drag and drop 5 that apply. blank blank blank blank blank Start sodium restriction Administer Lactated Ringers for IV fluid replacement Perform capillary refill checks Perform neurologic checks as ordered Perform vital signs as ordered Monitor for elevated BUN and Cr results Encourage PO fluids Administer Furosemide (lasix) 8 Not yet Points out of 1.00 Flag text The nurse identifies which of the following as client signs and symptoms of fluid volume overload? Drag and drop 4 that apply. blank blank blank blank Weight loss Tenting skin turgor Adventitious lung sounds Cough Elevated blood pressure Urine output <400 mL/day Complaint of thirst Pitting Edema 9 Not yet Points out of 2.00 Flag text A client is admitted to the emergency department with vomiting and diarrhea becomes pulseless, apneic and their palpable systolic blood pressure is 60 mmHg. The nurse determines the client is in Answer shock and would anticipate IV fluid orders from the provider for Answer. Options blank #1 Hypervolemic Hypovolemic Cardiogenic Options blank #2 0.9% Normal Saline 0.45% Normal Saline 5% Dextrose in Water (D5W) 10 Not yet Points out of 2.00 Flag textA client experiences a trauma, resulting in severe blood loss. The nurse understands that Answer is the best IV solution for this client because it's tonicity is closest to Answer. Options blank #1 Lactated Ringers 5% Dextrose in Water (D5W) 0.45% Normal Saline Options blank #2 Plasma Water Albumin 11 Not yet Points out of 1.00 Flag text A client with enteritis reports frequent diarrhea. What assessment should the nurse should anticipate? Select one: a. respiratory acidosis b. metabolic alkalosis c. metabolic acidosis d. respiratory alkalosis 12 Not yet Points out of 1.00 Flag text A client has been diagnosed with an intestinal obstruction and has a nasogastric tube set to low continuous suction. Which acid-base disturbance is this client at risk for developing? Select one: a. Metabolic acidosis b. Respiratory acidosis c. Respiratory alkalosis d. Metabolic alkalosis 13 Not yet Points out of 1.00 Flag text A client admitted to the facility is diagnosed with metabolic alkalosis based on arterial blood gas values. When obtaining the client's history, which statement would the nurse interpret as a possible underlying cause? Select one: a. "I was breathing so fast because I was so anxious and in so much pain." b. "I've been taking antacids almost every 2 hours over the past several days." c. "I've had a fever for the past 3 days that just doesn't seem to go away." d. "I've had a GI virus for the past 3 days with severe diarrhea." 14 Not yet Points out of 1.00 Flag text The nurse is reviewing the client's arterial blood gas results. The test reveals a pH of 7.52, a PaO2 level of 49 mmHg and an HCO3level of 30 mEq/L (30 mmol/L), the nurse suspects the client is most likely experiencing which condition? Select one: a. Metabolic acidosis b. Respiratory acidosis c. Respiratory alkalosis d. Metabolic alkalosis 15 Not yet Points out of 1.00 Flag text The graduate nurse is reviewing arterial blood gas values for their upcoming NCLEX-RN exam. How would the nurse interpret the following client arterial blood gas values? Drag and drop the correct interpretation with resulted values. PaCO2 47 mmHg, pH 7.25, HCO3 26 mEq/L blank pH 7.27, HC03 21 mEq/L, PaCO2 35 mm Hg blank pH 7.47, PaCO2 32 mmHg, HCO3 20 mEq/L blank pH 7.49, HCO3 30 mEq/L, PaCO2 50 mm Hg blank Respiratory acidosis Metabolic acidosis Respiratory alkalosis Metabolic alkalosis 16 Not yet Points out of 1.00 Flag text The nurse is reviewing arterial blood gas values for their assigned clients. How would the nurse interpret the following client arterial blood gas values? Drag and drop the correct interpretation with resulted values. PaCO2 47 mm Hg, pH 7.15, HCO3 26 mEq/L blank pH 7.17, HC03 21mEq/L, PaCO2 35 mm Hg blank pH 7.49, PaCO2 30 mm Hg, HCO3 20 mEq/L blank pH 7.59, HCO3 40 mEq/L, PaCO2 50 mm Hg blank Respiratory acidosis Metabolic acidosis Respiratory alkalosis Metabolic alkalosis 17 Not yet Points out of 1.00 Flag text The nurse is reviewing clinical manifestations of electrolytes disturbances. How would the nurse classify each of the following client manifestations? Drag and drop the manifestations to correspond with hypernatremia or hyponatremia (Not all manifestations will be used). Hypernatremia blank blank blank blank Hyponatremia blank blank blank blank Sodium level 148 mEq/L Headache Hallucinations Dizziness Dry swollen tongue Weight gain Irritability Muscle twitching Contractures Diarrhea 18 Not yet Points out of 1.00 Flag text The nurse is reviewing clinical manifestations of electrolytes disturbances. How would the nurse classify each of the following client manifestations? Drag and drop the manifestations to correspond with hypokalemia or hyperkalemia (Not all manifestations will be used). Hypokalemia blank blank blank Hyperkalemia blank blank blank Apical pulse rate 30 beats per minute Fatigue Anxiety Urine output 4000 mL/day Irritability Serum Potassium level 2.5 mEq/L Serum Potassium level 3.5 mEq/L Hematuria 19 Not yet Points out of 1.00 Flag text The nurse is reviewing clinical manifestations of electrolytes disturbances. How would the nurse classify each of the following client manifestations? Drag and drop the manifestations to correspond with hypercalcemia or hypocalcemia (Not all manifestations will be used). Hypercalcemia blank blank blank Hypocalcemia blank blank blank Calcium stones Positive Trousseau's Bone fractures Seizures Increased thirst Prothrombin time (PT) 25 seconds Cough Expiratory wheezing 20 Not yet Points out of 1.00 Flag text The nurse is caring for a client with electrolyte Imbalances. What would the nurse include in the plan of care for a client with Hypermagnesemia? Drag and drop the interventions to correspond with Hypermagnesemia (Not all interventions will be used). Hypermagnesemia blank blank blank blank IV calcium gluconate Monitor vital signs every four hours Initiate telemetry monitoring Educate client on dietary intake of Magnesium Encourage client to take OTC antacids SCIENCE HEALTH SCIENCE NURSING NUR 132

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