Question

1. A nurse is reviewing a client’s laboratory results prior to surgery. Which of the following findings should the nurse report to the provider?

1. Bicarbonate 26 mEq/L
2. Chloride 100 mEq/L
3. Potassium 3.8 mEq/L
4. Sodium 160 mEq/L

2. A charge nurse is evaluating a newly licensed nurse’s understanding of advance directives. Which of the following statements by the newly licensed nurse indicates an understanding of advance directives?

1. “I’ll refer clients who do not have advance directives for legal assistance.”
2. “I have to witness a client’s signature on his advance directives.”
3. “I have to document whether or not a client has prepared his advance directives.”
4. “I’ll encourage clients to follow their provider’s wishes for end-of life care.”

3. A clinic nurse is assessing an 8-year-old child during an annual physical examination. Which of the following findings indicates the need for intervention by the nurse?

1. The client eats at least one snack daily.
2. The client’s height has increased by 6.35 cm (2.5 in).
3. The client’s weight has increased by 0.9 kg (2 lb).
4. The client drinks 3 cups of 1% milk per day.

4. A nurse is assessing a client who presents to the labor and delivery unit reporting the onset of contractions. Which of the following findings should the nurse identify as a manifestation of false labor?

1. Presence of bloody show
2. Intermittent, painless contractions
3. Slow change in dilation and effacement
4. Contraction intensity increased by ambulation

5. A nurse is caring for a client who has a urinary tract infection and has been taking cefacior. Which of the following serum laboratory results indicates the medication is effective?

1. Creatinine 2.3 mg/dL
2. BUN 32 mg/dL
3. Eosinophils 3.9%
4. WBC 9,200/mm³

Answer 1

1. Ans:Sodium 160meq/dl

Normal value

Bicarbonate : 23to 30meq/dl

Chloride : 95-105meq/dl

Potassium : 3.5-5

Sodium :135 -145meq/dl

Sodium is above the normal level

2. Ans: I have to document whether or not a client prepared his advanced directives.

It is one of important responsibility of nurse is ti documents

3. Ans: The client's weight was increased by 0.9kg(2lb)

Here the child is comes under weight category. Child gain the weight 2-3kg /year.

4.Ans: Intermittent painless contractions

It is called Braxton Hicks contraction it referred to as false labor pain.

5. Ans:WBC, 9200/mm3

The normal value is 4000-1100/m3