A client of yours has a very distended abdomen with ascites. What would be the most pertinent question to ask this client? 

A client showing signs of hypovolemia has an order to administer 500 mL of normal saline over 30 minutes.  If the client has a normal BUN/ creatinine ratio, what should the nurse expect to see in this client? 

This is a Multiple Response Item: A client’s potassium is 2.8.   Per the potassium protocol, the nurse is to hang KCL intravenously.  Which actions should the nurse take to plan the administration of the potassium?  (Select all that apply by listing the letter(s) to the answer in alphabetical order using no spaces, commas or periods). A.  Prepare the medication for IV bolus administration B.  Obtain an IV infusion pump C.  Assess and monitor the IV site for signs of infiltration or phlebitis D.  Auscultate and palpate the patient’s abdomen    E.  Ensure that the potassium is diluted in the appropriate volume of fluid

This is a Multiple Response Item You have presented an educational in-service about nasogastric tubes. You ask participants to identify reasons a nasogastric tube would be placed in a patient. Which of the following responses by participants are correct? Select all that apply, by putting the letter(s) to the answer in alphabetical order, using no spaces, commas or periods.A. “To deliver nutrients” B. “To drain remove fluid and air from the stomach” C. “To allow the intestinal tract to rest after bowel surgery” D. “To aid in weight loss” E.” To monitor for bleeding in the gastrointestinal tract” 

Client has the following IV bag infusing at 18 mL/hour.     PTT returns at 115.  After the nurse follows the directions on the heparin protocol below, what should the nurse reset the pump at? Standard Dose Regimen PTT (seconds)  Dose AdjustmentsRound infusion to nearest 50 unit/hr  97 Hold infusion for 1 hour AND reduce infusion by -200 units/hour Record your answer as a whole number.    

The nurse has received report on a group of patients.  Which of these patients will be most at risk for developing fluid volume deficit?

This is a Multiple Response Item The nurse is providing dietary teaching to a client discharging after being diagnosed with hyperthyroidism. Which of the following dietary modifications will the nurse include in the teaching?  (Select all that apply by putting the letter(s) of the correct answer in alphabetical order in the answer box without any commas or spaces) A. Increased salt water fish or seafood B. Increased overall calories C. Elimination of fatty food D. Increased carbohydrates E. Increased Protein F. Fluid restriction  

A client has just been admitted with a diagnosis of dyspnea.  What is the best way to determine the level or amount of dyspnea this client has been  having over the past week?

The diabetic patient was admitted with osteomyelitis  in left foot  two days ago.  After the infusion of the scheduled IV Vancomycin, the nurse notes that the peripheral IV site is erythematous, warm, and  swollen.  Patient reports pain at the IV site.  Which action by the nurse is best ?

This is a Multiple Response Item A client is admitted to the medical-surgical unit with complaints of abdominal discomfort. What part of the client’s medical history increases their risk for developing a urinary tract infection? (Select all that apply by listing the letter(s) to the answer in alphabetical order using no spaces, commas or periods) A. Diabetes B. Enlarged Prostate C. Hypertension D. Dementia E. Peptic Ulcer Disease