NR 341 Exam 2 QUESTIONS AND ANSWERS

NR 341 Exam 2 QUESTIONS AND ANSWERS

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NR 341 Exam 2 QUESTIONS AND ANSWERS The nurse is caring for a client with hypovolemic shock. The family member asks why the fluids are being warmed. What is the Best response by the nurse? 1. The n... urse is caring for a newly admitted client diagnosed with acute kidney injury. The nurse understands that the acute kidney injury is Most likely related to a history of which condition? 2. The nurse is caring for a client being monitored by arterial pressure monitoring. The nurse notes a systolic pressure of 164 mmHg. What action should the nurse take first ? 4. The nurse is assessing jugular venous pressure. In what order should the nurse proceed with the steps in the process? [place the steps in the correct order beginning with the first step 3.place head of bed between 30-45 degrees. 2. Have client turn head slightly to the left. 6. Shine a pen light across the neck, assess for jugular venous distension at end of exhalation. 5.observe the highest point of pulsation in the internal jugular vein at end exhalation. 4. Measure the vertical distance between the pulsation and the angle of louis. 1. Add 5 cm to the measurement. 6. The nurse is caring for a client with acute kidney injury. The nurse should anticipate which abnormal assessment finding? [Show More]