Title RECALLS 12 - NP3 - SC ✅

3 | Page A. 3 and 4 B. 1 and 2 C. 1 and 4 D. 2 and 3 26. For clients with diabetic ketoacidosis, their body employs several mechanisms to compensate for the acidosis. While caring for these clients, which of the following manifestations should you expect to observe? 1. Nausea and vomiting 2. Oliguria 3. Kussmaul breathing 4. Polyuria A. 1 and 2 B. 3 and 4 C. 1, 3 and 4 D. all of the above 27. Brian, 30 years old, was brought to the Emergency Department (ED) with nausea confusion, dehydration and oliguria. Her mother informs you that Brenda has been depressed after losing her job as a bank executive. An empty bottle of aspirin was found in her bathroom sink. Her laboratory values revealed the if.: pH = 7.35, PaCO2=16 mmHg, PaO2=130 mmHg, and HCO3=15mEq/L. What is the CORRECT acid-base interpretation of her ABG? A. Partially compensated respiratory acidosis B. Uncompensated metabolic acidosis C. Partially compensated metabolic: acidosis D. Compensated metabolic acidosis. Situation: Nurse Benedict is caring for clients in various clinical settings. 28. A patient named Jessie who had a total gastrectomy is given instructions on measure to prevent the developing of dumping syndrome. Which of the following statements, if made by Jessie, would indicate a correct understanding of the instructions? A. "I will have a bedtime snack" B. "I will rest one hour before each meal" C. "I will avoid concentrated sugar" D. "I will include high-carbohydrate foods in my diet.” 29. Which of the following findings, if identified in a patient in the immediate postoperative period following coronary artery bypass grafting (CABG), would indicate the need for immediate follow-up by Nurse Benedict? A. Chest tube drainage of 75 ml/hr B. Urinary output of 100 ml/hr C. Blood pressure of 124/60 mmHg D. Oxygen saturation of 92% 30. Given a patient with venous insufficiency, which of the following nursing interventions would be the most appropriate for their care? A. Elevating the legs B. Increasing the fluid intake C. Limiting the activity level D. Massaging the extremities 31. Which of the following conditions if reported in a patient's history, should Nurse Benedict recognize as a contributing factor to the development of metabolic alkalosis: A. Chronic obstructive pulmonary disease. (COPD) B. Type I Diabetes Mellitus C. Cushing's syndrome D. Reynaud's syndrome 32. Which of the following conditions would Nurse Benedict recognize as contributing factor to the development of respiratory alkalosis? A. Chronic obstructive pulmonary disease (COPD) B. Episodes hyperventilation C. Frequent loose stools D. Hiatal Hernia 33. Which of the following signs and symptoms would Nurse Benedict expect to identify when assessing a patient who has chronic obstructive pulmonary disease (COPD)? A. Increase anterior-posterior chest diameter B. Decreases residual lung volume C. Bronchovesicular breath sounds D. Kussmauls respirations 34. When instructing a patient who rides to restrict potassium intake, which of the following food's would Nurse Benedict identify as being the lowest in potassium? A. Raisins B. Grapes C. Spinach D. Potato 35. A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of breath and is visibly anxious. The nurse on duty, Nurse Benedict, immediately assesses the client for other signs and symptoms of: A. Myocardial Infarction B. Pneumonia C. Pulmonary embolism D. Pulmonary edema 36. Mr. Jeffrey will undergo insertion of central venous catheter. The nurse on duty should assist Mr. Jeffrey to assume which of the following positions? A. Supine B. Trendelenburg's C. Reverse Trendelenburg's D. High-Fowlers 37. Nurse Benedict is caring for a client with suspected carbon monoxide poisoning. Of the following interventions that the nurse assists in implementing, which is the highest priority? A. Requesting a building inspection at the site of the incident from the local health department B. Drawing blood for carboxyhemoglobin levels C. Frequently observing the client D. Administering 100% oxygen 38. In peritoneal Dialysis the inflow time to allow 2-3L of dialysate to flow into the peritoneal cavity is: A. 5-10mins B. 10-20mins C. 10-30mins. D. 1 hour 39. The client reports mid-calf pain when walking a block or more, which is alleviated by resting. Nurse Benedict suspects the client may have intermittent claudication. At what percentage of arterial occlusion does intermittent claudication typically occur? A. 20% B. 40% C. 50% D. 100% 40. While the client with hepatitis B is eating, she accidentally dislodges her IV line, resulting in blood on the over-the-bed table. What should Nurse Benedict direct the housekeeper to use for cleaning the table? A. Alcohol B. Acetone C. Ammonia D. Bleach Situation: Nurse Ryan, a competent nurse in medical- surgical ward C, is assigned to care for clients with liver cirrhosis.   41. Nurse Ryan assesses a client with hepatic encephalopathy for asterixis by: A. Asking the client to extend an arm, dorsiflex the wrist and extend the finger. B. Assessing the client for azotemia, oliguria and intractable ascites C. Assessing the client for a musty sweet breath door D. Asking the client to draw a cross and noting any deterioration in the figure construction. 42. Nurse Ryan is assessing an older male client. Which of the following findings would strongly indicate the possibility of cirrhosis?