Page 264 - Saunders Comprehensive Review For NCLEX-RN

2. Monitor urine output during administration.
3. Prepare the medication for bolus administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
5. Ensure that the medication is diluted in the appropriate volume of
fluid.
6. Ensure that the bag is labeled so that it reads the volume of
potassium in the solution.
43. The nurse is assessing a client with a lactose intolerance disorder for a
suspected diagnosis of hypocalcemia. Which clinical manifestation would
the nurse expect to note in the client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau’s sign
4. Hypoactive deep tendon reflexes
44. The nurse is caring for a client with Crohn’s disease who has a calcium level
of 8 mg/dL (2 mmol/L). Which patterns would the nurse watch for on the
electrocardiogram? Select all that apply.
1. U waves
2. Widened T wave
3. Prominent U wave
4. Prolonged QT interval
5. Prolonged ST segment
45. The nurse reviews the electrolyte results of a client with chronic kidney
disease 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.
1. ST depression
2. Prominent U wave
3. Tall peaked T waves
4. Prolonged ST segment
5. Widened QRS complexes
46. Which client is at risk for the development of a sodium level at 130 mEq/L
(130 mmol/L)?
1. The client who is taking diuretics
2. The client with hyperaldosteronism
3. The client with Cushing’s syndrome
4. The client who is taking corticosteroids
47. 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?
1. Muscle twitches
2. Decreased urinary output
3. Hyperactive bowel sounds
4. Increased specific gravity of the urine
48. The nurse reviews a client’s laboratory report and notes that the client’s
serum phosphorus (phosphate) level is 1.8 mg/dL (0.58 mmol/L). Which

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