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SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX ONE

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44) The nurse reviews the electrolyte results of an assigned client and notes that the potassium level is 5.7 mEq/L (5.7 mmol/L). Which patterns would the nurse watch for on the cardiac monitor as ... a result of the laboratory value? Select all that apply.  Tall peaked T waves  Widened QRS complexes 45) Which client is at risk for the development of a sodium level at 130 mEq/L (130 mmol/L)?  The client who is taking diuretics 46) The nurse is caring for a client with heart failure who is receiving high doses of a diuretic. On assessment, the nurse notes that the client has flat neck veins, generalized muscle weakness, and diminished deep tendon reflexes. The nurse suspects hyponatremia. What additional signs would the nurse expect to note in a client with hyponatremia?  Hyperactive bowel sounds 47) The nurse reviews a client's laboratory report and notes that the client's serum phosphorus (phosphate) level is 1.8 mg/dL (0.45 mmol/L). Which condition most likely caused this serum phosphorus level?  Malnutrition 48) The nurse is reading a health care provider's (HCP's) progress notes in the client's record and reads that the HCP has documented "insensible fluid loss of approximately 800 mL daily." The nurse makes a notation that insensible fluid loss occurs through which type of excretion?  Integumentary output 49) The nurse is assigned to care for a group of clients. On review of the clients' medical records, the nurse determines that which client is most likely at risk for a fluid volume deficit?  A client with an ileostomy 50) The nurse caring for a client who has been receiving intravenous (IV) diuretics suspects that the client is experiencing a fluid volume deficit. Which assessment finding would the nurse note in a client with this condition?  Weight loss and poor skin turgor 51) On review of the clients' medical records, the nurse determines that which client is at risk for fluid volume excess?  The client with kidney disease and a 12-year history of diabetes mellitus 52) Which client is at risk for the development of a potassium level of 5.5mEq/L (5.5 mmol/L)?  The client who has sustained a traumatic burn 53) The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, Paco2 of 30 mm Hg (30 mm Hg), and HCO3 – of 20 mEq/L (20 mmol/L). The nurse analyzes these results as indicating which condition?  Respiratory alkalosis, compensated 54) The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client for manifestations of which disorder that the client is at risk for?  Metabolic alkalosis [Show More]

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