When monitoring for hypernatremia, the nurse should assess the client for:

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Question 1 of 5

When monitoring for hypernatremia, the nurse should assess the client for:

Correct Answer: C

Rationale: Hypernatremia is a condition characterized by high levels of sodium in the blood. When monitoring for hypernatremia, the nurse should assess the client for signs of neurologic impairment, such as confusion. This is because hypernatremia can lead to changes in mental status due to the hyperosmolarity of the blood affecting brain function. Assessing for confusion is crucial in identifying and managing hypernatremia promptly to prevent further complications. Dry skin, tachycardia, and pale coloring are not specific manifestations of hypernatremia and are less likely to be directly related to this electrolyte imbalance.

Question 2 of 5

When testing visual fields, the nurse is assessing which of the following parts of vision?

Correct Answer: A

Rationale: When testing visual fields, the nurse is assessing the peripheral vision. Peripheral vision refers to the outer area of the visual field, away from the center of gaze. It allows individuals to detect objects, movement, and stimuli in their surroundings without needing to focus directly on them. Testing peripheral vision is important for detecting potential visual field deficits that can impede daily activities and safety, such as driving or navigating crowded spaces. By assessing the peripheral vision, healthcare professionals can identify any limitations or abnormalities that may require further evaluation or intervention.

Question 3 of 5

The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get with mammograms:

Correct Answer: A

Rationale: The American Cancer Society recommends that women get yearly mammograms starting at age 40. This is because regular mammograms are the best way to detect breast cancer early when it's most treatable. Women at an average risk of breast cancer are advised to undergo yearly mammograms starting at age 40. Early detection through regular screening can help improve the chances of successful treatment and increase survival rates. It's important to follow these guidelines to ensure early detection and timely treatment of breast cancer.

Question 4 of 5

Which intervention is appropriate for the nurse caring for a client in severe pain receiving a continuous I.V. infusion of morphine?

Correct Answer: D

Rationale: Obtaining baseline vital signs before administering the first dose is appropriate for the nurse caring for a client in severe pain receiving a continuous I.V. infusion of morphine. Monitoring vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, is essential to assess the client's response to opioid therapy. Baseline vital signs provide a comparison for evaluating changes in the client's physical status and help identify any adverse effects or complications related to morphine administration. This proactive approach allows the nurse to detect and address any abnormalities promptly, ensuring the client's safety and optimal pain management.

Question 5 of 5

A client is being treated for acute pyelonephritis and will undergo laboratory tests. These tests are expected to help determine the clients BUN, creatinine, and serum electrolyte levels. Why should the nurse evaluate these test results?

Correct Answer: A

Rationale: Evaluating the client's BUN, creatinine, and serum electrolyte levels when being treated for acute pyelonephritis is crucial in determining the severity of the disorder. BUN and creatinine levels are indicators of renal function, where elevated levels may suggest impaired kidney function due to inflammation in the kidneys from pyelonephritis. Abnormal electrolyte levels, such as potassium and sodium, may also reflect the impact of the infection on renal function. Therefore, monitoring these test results helps healthcare providers assess how well the kidneys are functioning and the severity of the pyelonephritis to guide appropriate treatment decisions.

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