Assignment for Monday Ratio

Respi, Fluid & Electrolyts Quiz

Abdurahim, Fatima Nashrin
1. For the client with a productive cough and difficulty breathing, the nurse should obtain the
body temperature at what site?
a. Mouth.
b. Groin fold.
c. Rectum.
d. Axillae

2. The cyanosis that accompanies bacterial pneumonia is primarily due to

a. decreased cardiac output.
b. Iron deficiency anemia
c. Inadequate peripheral circulation
d. Decreased oxygenation of the blood

Adjap, Shahinaz

3. A client with pneumonia is experiencing pleuritic chest pain. This type of chest pain is usually
described as being
a. A mild but constant aching in the chest
b. Severe mid-sternal pain
c. Moderate pain that worsens on inspiration.
d. Muscle spasm pain that accompanies coughing.

4. Which of the following measures would most likely be successful in reducing the client’s
pleuritic chest pain due to pneumonia?
a. Encourage the client to breathe shallowly.
b. Have the client practice abdominal breathing.
c. Offer the client incentive spirometry.
d. Teach the client to splint the rib cage when coughing.

Altar, Catherine Sienna

5. Aspirin is administered to clients with pneumonia because of its antipyretic and
a. Analgesic effects
b. Anticoagulant effects
c. Adrenergic effects
d. Antihistamine effects

6. A client with bacterial pneumonia is coughing up tenacious purulent sputum. Which of the
following measures would most likely help liquefy these viscous secretions?
 a. Performing postural drainage
b. Breathing humidified air
c. Clapping ang percussing over the affected lung
d. Performing coughing and deep-breathing exercises

Asaali, Zheena Reem

7. Mental status changes that may occur when the client with pneumonia is experiencing
hypoxia include which of the following?
a. Coma
b. Apathy
c. Irritability
d. Depression

8. After 1 day of antibiotic therapy, a client’s white blood cell count is 14,000/mm 3. In response
to this report, the nurse should
a. Notify the physician
b. Increase the next dose of the antibiotic
c. Initiate reverse isolation precautions
d. Administer the next scheduled antibiotic dose early.

Castor, Arianne Kaye

9. The client with pneumonia develops mild constipation, and the nurse administers docusate
sodium (Colace) as ordered. This drug works by
a. Softening the stool.
b. Lubricating the stool
c. Increasing stool bulk.
d. Stimulating peristalsis.

10. Which of the following would be most important to teach a client older than 65 years to
prevent a recurrence of bacterial pneumonia?
a. Charge current diet habits.
b. Seek prompt antibiotic therapy for viral infections.
c. Receive prophylactic antibiotic therapy.
d. Obtain annual influenza and pneumococcal vaccines

Diya, Shainaleen

11. Medical therapy for a client with a positive Mantoux skin test who does not have active
tuberculosis would involve -

a. Reevaluating the client’s condition every 6 months.

b. Performing a repeat skin test every 6 months.
c. Administering isoniazid for about 9 months.
d. Administering isoniazid until the skin test reverts to negative.
 12. The nurse’s best evaluation of a client who exhibits a positive Mantoux test would be that the
client has

a. Clinical tuberculosis.
b. Had a contact with the tubercle bacilli.
c. Developed a resistance to the tubercle bacilli.
d. Developed passive immunity to tuberculosis.

Dovadova, Merjen
13. To prevent development of peripheral neuropathies associated with isoniazid
administration, clients taking this drug are usually advised to
a. Follow a low cholesterol diet.
b. Supplement the diet with pyridoxine (Vitamin B 6).
c. Get extra rest.
d. Avoid excessive sun exposure.

14. The nurse should caution sexually active female clients taking isoniazid that the drug
a. Increases the risk of vaginal infection.
b. Has mutagenic effects on ova.
c. Decreases the effectiveness of oral contraceptives.
d. Inhibits ovulation.

Escandor, Maria Therese

15. Clients who have had active tuberculosis need to be informed that they are at risk for
recurrence of tuberculosis during periods of
a. Cool and damp weather.
b. Active exercise and exertion.
c. Physical and emotional stress.
d. Rest and inactivity.

16. Which of the following physical assessment findings is typical in a client with advanced
COPD?
a. Increased anteroposterior chest diameter.
b. Underdeveloped neck muscles.
c. Collapsed neck veins.
d. Increased chest excursions with respiration.

Fabian, Bryan Lemuel

17. To decrease the risk of COPD, people should be instructed to

a. Refrain from drinking more than one alcoholic beverage per day.
b. Maintain a high-protein diet.
c. Avoid exposure to people with known respiratory infections.
d. Abstain from cigarette smoking.
 18. The primary reason to teach pursed-lip breathing to clients with emphysema is to help

a. Promote oxygen intake.

b. Strengthen the diaphragm.
c. Strengthen the intercostal muscles.
d. Promote carbon dioxide elimination.
Imlan, Al- Moazz
19. Theophylline ethylenediamide is administered to a client with COPD to
a. Reduce bronchial secretions.
b. Relax bronchial smooth muscle.
c. Strengthen myocardial contractions.
d. Decrease alveolar elasticity.

20. A priority goal for the client with COPD is to

a. Maintain functional ability.

b. Minimize pain due to the disease process.
c. Increase carbon dioxide levels in the blood.
d. Treat the infectious agent.

Javier, Karla
21. A client’s ABG values are pH, 7.29; PaO 2 48 mm Hg; PaCO2, 76 mm Hg; HCO3, 36 mEq/L. The
plan of care for a client with these values would include close monitoring for which of the
following signs and symptoms?
a. Cyanosis and restlessness.
b. Flushed skin and lethargy.
c. Weakness and irritability.
d. Anxiety and fever.

22. During postural drainage, movement of secretions from the lower respiratory tract to the
upper respiratory tract occurs due to

a. Friction between the cilia

b. The force of gravity.
c. The sweeping motion of cilia
d. Involuntary muscle contractions.

Jumawan, Jenel
23. Clients with COPD may be bedridden at home and get little exercise. Which of the following is
a normal physiologic reaction to prolonged periods of bed rest and inactivity?

a. Increased sodium retention.

b. Increased calcium excretion.
c. Increased insulin use.
d. Increased red blood cell production.
 24. For a client with COPD who has trouble raising respiratory secretions, which of the following
nursing measures would help reduce the tenacity of secretions?
a. Ensuring that the client’s diet is low in salt.
b. Ensuring that the client’s oxygen therapy is continuous.
c. Helping the client maintain a high fluid intake.
d. Keeping the client in a semi-sitting position as much as possible.
Lim, China Mei
25. When administering atropine sulfate preoperatively to the client scheduled for lung surgery,
the nurse should tell the client which of the following? “This medication will
a. Make you drowsy.”
b. Help you relax.”
c. Make your mouth feel dry.”
d. Reduce the risk of postoperative infection.”

26. After lobectomy, clients should be instructed to perform deep-breathing exercises to

a. Elevate the diaphragm, which enlarges the thorax and increase the lung surface available for
gas exchange.
b. Decrease blood flow to the lungs to allow them to rest and increase the surface available for
ventilation.
c. Control the rate of air flow to the remaining lobe so that it will not become hyperinflated.
d. Expand the alveoli and increase the lung surface available for ventilation.

Marquez, Joshua
27. Which of the following signs and symptoms would alert the nurse to possible internal bleeding
in a client who has undergone pulmonary lobectomy?

a. Increased blood pressure and decrease pulse and respiratory rates.

b. Sanguineous drainage from the chest tube at a rate of 50 mL per hour during the past 3
hours
c. Restlessness and shortness of breath.
d. Urine output of 180 mL during the vast 3 hours.

28. Which of the following is the most important aspect of pain management for the client after
lobectomy?
a. Repositioning the client immediately after administering pain medication.
b. Reassessing the client 30 minutes after administering pain medication.
c. Verbally reassuring the client after administering pain medication.
d. Readjusting the pain medication dosage as needed according to the client’s condition.

Marquez, Maria Therese

 29. While assessing the incisional area from a lobectomy in which a chest tube exits, the nurse
feels like a crackling sensation under the sensation under the fingertips along the entire incision.
The nurse’s first action should be to
a. Lower the head of the bed and call the physician.
b. Check the client’s blood pressure and ready an aspiration tray.
c. Mark the area with a skin pencil at the outer periphery of the crackling.
d. Turn off the suction of the chest drainage system.

30. When caring for a client with a chest tube and water-seal drainage system, the nurse should
a. Ensure that the air vent on the water-seal drainage system is capped when the suction is off.
b. Strip the chest drainage tubes at least every 4 hours if excessive bleeding occurs.
c. Ensure that the chest tube is clamped when moving the client out of the bed.
d. Ensure that the collection and suction bottles are below the client’s chest level at all times.

Miranda, Ryan Atom

31. What is the nurse's primary concern regarding fluid & electrolytes when caring for an elderly
patient who is intermittently confused?
A. risk of dehydration
B. risk of kidney damage
C. risk of stroke
D. risk of bleeding

32. The nurse is planning care for a patient with severe burns. Which of the following is this patient at
risk for developing?
A. intracellular fluid deficit
B. intracellular fluid overload
C. extracellular fluid deficit
D. interstitial fluid deficit

Morden, Tanya Vien

33. Patient experiencing multisystem fluid volume deficit, has the symptoms of tachycardia, pale, cool
skin, & decreased urine output. The nurse realizes these findings are most likely a direct result of which
of the following?
A. the body's natural compensatory mechanisms
B. pharmacological effects of a diuretic
C. effects of rapidly infused intravenous fluids
D. cardiac failure

34. A pregnant patient is admitted with excessive thirst, increased urination, & has a medical diagnosis
of diabetes insipidus. The nurse chooses which of the following nursing diagnoses as most appropriate?
A. Risk for Imbalanced Fluid Volume
B. Excess Fluid Volume
C. Imbalanced Nutrition
D. Ineffective Tissue Perfusion
Ocalinas, Criston Niel

35. A patient recovering from surgery has an indwelling urinary catheter. The nurse would contact the
patient's primary healthcare provider with which of the following 24-hour urine output volumes?
A. 600 mL
B. 750 mL
C. 1000 mL
D. 1200 mL

36. A patient is receiving intravenous fluids postoperatively following cardiac surgery. Nursing
assessments should focus on which postoperative complication?
A. fluid volume excess
B. fluid volume deficit
C. seizure activity
D. liver failure

Omar, Ashra Ghea

37. A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will mostly likely
need which of the following precautions implemented?
A. seizure
B. infection
C. neutropenic
D. high-risk fall

38. A patient is diagnosed with hypokalemia. After reviewing the patient's current medications, which of
the following might have contributed to the patient's health problem?
A. corticosteroid
B. thiazide diuretic
C. narcotic
D. muscle relaxer

Orilleneda, Jo Antonette

39. A patient prescribed spironolactone is demonstrating ECG changes & complaining of muscle
weakness. The nurse realizes this patient is exhibiting signs of which of the following?
A. hyperkalemia
B. hypokalemia
C. hypercalcemia
D. hypocalcemia

40. The nurse is planning care for a patient with fluid volume overload & hyponatremia. Which of the
following should be included in this patient's plan of care?
A. Restrict fluids.
B. Administer intravenous fluids.
C. Provide Kayexalate.
D. Administer intravenous normal saline with furosemide.
Rivera, Deserie Anne

41. When caring for a patient diagnosed with hypocalcemia, which of the following should the nurse
additionally assess in the patient?
A. other electrolyte disturbances
B. hypertension
C. visual disturbances
D. drug toxicity
42. A patient with a history of stomach ulcers is diagnosed with hypophosphatemia. Which of the
following interventions should the nurse include in this patient's plan of care?
A. Request a dietitian consult for selecting foods high in phosphorous.
B. Provide aluminum hydroxide antacids as prescribed.
C. Instruct patient to avoid poultry, peanuts, & seeds.
D. Instruct to avoid the intake of sodium phosphate.

Sabatal, Nur-Aini

43. When analyzing an arterial blood gas report of a patient with COPD & respiratory acidosis, the nurse
anticipates that compensation will develop through which of the following mechanisms?
A. The kidneys retain bicarbonate.
B. The kidneys excrete bicarbonate.
C. The lungs will retain carbon dioxide.
D. The lungs will excrete carbon dioxide.

44. The nurse is caring for a patient diagnosed with renal failure. Which of the following does the nurse
recognize as compensation for the acid-base disturbance found in pts with renal failure?
A. The patient breathes rapidly to eliminate carbon dioxide.
B. The patient will retain bicarbonate in excess of normal.
C. The pH will decrease from the present value.
D. The patient's oxygen saturation level will improve

Sanaani, Pervez

45. When caring for a group of patients, the nurse realizes that which of the following health problems
increases the risk for metabolic alkalosis?
A. bulimia
B. dialysis
C. venous stasis ulcer
D. COPD

46. The nurse is caring for a patient who is anxious & dizzy following a traumatic experience. The arterial
blood gas findings include: pH 7.48, PaO2 110, PaCO2 25, & HCO3 24. The nurse would anticipate which
initial intervention to correct this problem?
A. Encourage the patient to breathe in & out slowly into a paper bag.
B. Immediately administer oxygen via a mask & monitor oxygen saturation.
C. Prepare to start an intravenous fluid bolus using isotonic fluids.
D. Anticipate the administration of intravenous sodium bicarbonate.

Suladay, Nathaniel John

47. A patient is prescribed 20 mEq of potassium chloride. The nurse realizes that the reason the patient
receiving this replacement is
A. to sustain respiratory function.
B. to help regulate acid-base balance.
C. to keep a vein open.
D. to encourage urine output.

48. An elderly patient does not complain of thirst. What should the nurse do to assess that this patient is
not dehydrated?
A. Ask the physician for an order to begin intravenous fluid replacement.
B. Ask the physician to order a chest x-ray.
C. Assess the urine for osmolality.
D. Ask the physician for an order for a brain scan.

Tan , Wesly Cushan

49. An elderly patient who is being medicated for pain had an episode of incontinence. The nurse
realizes that this patient is at risk for developing
A. dehydration.
B. over-hydration.
C. fecal incontinence.
D. a stroke.

50. A postoperative patient with a fluid volume deficit is prescribed progressive ambulation yet is weak
from an inadequate fluid status. What can the nurse do to help this patient?
A. Assist the patient to maintain a standing position for several minutes.
B. This patient should be on bed rest.
C. Assist the patient to move into different positions in stages.
D. Contact physical therapy to provide a walker.

Tawasil, Fatima Yuneza

51. A postoperative patient is diagnosed with fluid volume overload. Which of the following should the
nurse assess in this patient?
A. poor skin turgor
B. decreased urine output
C. distended neck veins
D. concentrated hemoglobin & hematocrit levels
52. An elderly patient is at home after being diagnosed with fluid volume overload. Which of the
following should the home care nurse instruct this patient to do?
A. Wear support hose.
B Keep legs in a dependent position.
C. Avoid wearing shoes while in the home.
D. Try to sleep without extra pillows.

Tipa, Daruis Eugene

53. A patient with fluid retention related to renal problems is admitted to the hospital. The nurse
realizes that this patient could possibly have which of the following electrolyte imbalances?
A. hypokalemia
B. hypernatremia
C. carbon dioxide
D. magnesium

54. An elderly patient comes into the clinic with the complaint of watery diarrhea for several days with
abdominal & muscle cramping. The nurse realizes that this patient is demonstrating which of the
following?
A. hypernatremia
B. hyponatremia
C. fluid volume excess
D. hyperkalemia

Tungao, Wesal

55. A patient is admitted with hypernatremia caused by being stress on a boat in the Atlantic Ocean for
five days without a fresh water source. Which of the following is this patient at risk for developing?
1. pulmonary edema
2. atrial dysrhythmias
3. cerebral bleeding
4. stress fractures

56. The nurse is admitting a patient who was diagnosed with acute renal failure. Which of the following
electrolytes will be most affected with this disorder?
A. calcium
B. magnesium
C. phosphorous
D. potassium

Urao, Alghosaibi

57. A patient who is taking digoxin (Lanoxin) is admitted with possible hypokalemia. Which of the
following does the nurse realize might occur with this patient?
A. Digoxin toxicity may occur.
B. A higher dose of digoxin (Lanoxin) may be needed.
C. A diuretic may be needed.
D. Fluid volume deficit may occur.

58. A patient is prescribed 40 mEq potassium as a replacement. The nurse realizes that this replacement
should be administered
A. directly into the venous access line
B. mixed in the prescribed intravenous fluid.
C. via a rectal suppository.
D via intramuscular injection.

Usman, Khaironnisa

59. An elderly patient with a history of sodium retention arrives to the clinic with the complaints of
"heart skipping beats" & leg tremors. Which of the following should the nurse ask this patient regarding
these symptoms?
A. "Have you stopped taking your digoxin medication?"
B. "When was the last time you had a bowel movement?"
C. "Were you doing any unusual physical activity?"
D. "Are you using a salt substitute?"

60. A 35-year-old female patient comes into the clinic postoperative parathyroidectomy. Which of the
following should the nurse instruct this patient?
A. Drink one glass of red wine per day.
B. Avoid the sun.
C. Milk & milk-based products will ensure an adequate calcium intake.
D. Red meat is the protein source of choice.