A 70 year-old post-operative client has elevated serum BUN, HCT, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actual problem is:

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Question 1 of 5

A 70 year-old post-operative client has elevated serum BUN, HCT, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actual problem is:

Correct Answer: D

Rationale: Elevated BUN, HCT, Cl, and Na+ with normal creatinine suggest dehydration, not renal failure.

Question 2 of 5

The nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will avoid hypoxia by

Correct Answer: C

Rationale: Hyperoxygenation prevents hypoxia during suctioning by pre-oxygenating the lungs.

Question 3 of 5

A 67 year-old client is admitted with substernal chest pain with that radiates to the jaw. The admitting diagnosis is acute myocardial infarction (MI). The priority nursing diagnosis for this client during the first 24 hours is

Correct Answer: C

Rationale: Impaired gas exchange due to reduced cardiac output is the primary concern post-MI.

Question 4 of 5

The nurse uses the DRG (Diagnosis Related Group) manual to

Correct Answer: C

Rationale: DRGs categorize diagnoses for hospital reimbursement purposes.

Question 5 of 5

A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distention, the best method for the nurse to use is to assess for

Correct Answer: C

Rationale: Bladder distention presents as a palpable swelling above the pubis.

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