Question 1

Which of the following nursing interventions would be most important for determining fluid balance in a client with end-stage renal failure?

Volume A

Options :

A : Monitor urine specific gravity

B : Measure fluid intake and output

C : Weigh daily

D : Record frequency of bowel movements

Answer: C

Question 2

To which of the following assessment data should the nurse give highest priority for a client admitted to the emergency room in a hepatic coma?

Volume A

Options :

A : Neurological status

B : Airway adequacy

C : Ammonia levels

D : Gastrointestinal bleeding

Answer: B

Question 3

A 6-year-old is admitted to the hospital with a tentative diagnosis of acute lymphocytic leukemia. When assessing the child for symptoms of leukemia, the nurse should consider which of these questions?

Volume D

Options :

A : What reaction does the child have when tested for the presence of Homan-s sign?

B : What is the color of the child-s sclera?

C : Does the child have a pulse deficit?

D : Does the child have bone pain?

Answer: D

Question 4

A patient in the recovery room complains of incisional pain. Which of the following nursing interventions would be most appropriate?

Volume C

Options :

A : Give meperidine (Demerol) 50 mg, IM, as ordered

B : Encourage deep breathing exercises

C : Place the patient in a prone position

D : Give acetaminophen (Tylenol), two tablets as ordered

Answer: A

Question 5

A nurse in the prenatal clinic has a nutritional conference with a primigravida who is ten weeks pregnant.

Which of these comments, if made by the woman, would be an accurate statement about nutritional needs?

Volume C

Options :

A : "Since I don't like to drink milk, I've been using it in my cooking and eating extra cheese."

B : "I'm being careful with my weight. I'll be sure to gain no more than sixteen pounds with the pregnancy."

C : "I'll be using a salt substitute instead of salt throughout my pregnancy."

D : "If I take multivitamins, then it will be all right for me to continue to omit my lunch."

Answer: A

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