a nurse is assessing clients who have intravenous therapy prescribed which assessment finding for a client with a peripherally inserted central cathet

ATI RN

ATI Fluid Electrolyte and Acid-Base Regulation

1. A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?

A. The initial site dressing is 3 days old.
B. The PICC was inserted 4 weeks ago.
C. A securement device is absent.
D. Upper extremity swelling is noted.

Correct answer: D

Rationale:

2. A nurse is caring for a client with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site. After removing the device, which action should the nurse take to relieve pain?

A. Administer topical lidocaine to the site.
B. Place warm compresses on the site.
C. . Administer prescribed oral pain medication.
D. Massage the site with scented oils.

Correct answer: B

Rationale:

3. The ICU nurse is caring for a patient who experienced trauma in a workplace accident. The patient is complaining of having trouble breathing with abdominal pain. An ABG reveals the following results: pH 7.28, PaCO2 50 mm Hg, HCO3 23 mEq/L. The nurse should recognize the likelihood of what acidbase disorder?

A. Respiratory acidosis
B. Metabolic alkalosis
C. Respiratory alkalosis
D. Mixed acidbase disorder

Correct answer: D

Rationale:

4. . A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L. Which manifestation should the nurse identify as an exam

A. Increased rate and depth of respirations
B. ncreased urinary output
C. Increased thirst and hunger
D. ncreased release of acids from the kidneys

Correct answer: A

Rationale:

5. What can cause dehydration?

A. Prolonged vomiting.
B. Prolonged diarrhea.
C. Too little fluid intake.
D. Prolonged vomiting, diarrhea, and too little fluid intake.

Correct answer: D

Rationale: Dehydration can result from significant fluid loss due to vomiting, diarrhea, or inadequate fluid intake. Prolonged vomiting and diarrhea lead to excessive fluid loss from the body, contributing to dehydration. Similarly, not consuming enough fluids can also result in dehydration. Choice A and B are too specific as they only mention one cause each, while choice C is also correct but does not encompass all the potential causes of dehydration as mentioned in choice D.