Answer to Question 1
Correct Answer: 4
Rationale 1: Muscle fatigue, not pain, is associated with hypernatremia.
Rationale 2: The daily weight is not the nurse's highest priority for this client.
Rationale 3: Thirst is a normal mechanism when a client's serum osmolality increases.
Rationale 4: Hypernatremia can cause increased intracranial pressure. This should be reported to the health care provider immediately.
Global Rationale: Hypernatremia can cause increased intracranial pressure. This should be reported to the health care provider immediately. Muscle fatigue, not pain, is associated with hypernatremia. The daily weight is not the nurse's highest priority for this client. Thirst is a normal mechanism when a client's serum osmolality increases.
Answer to Question 2
Correct Answer: 2
Rationale 1: The respiratory system is not the body system most profoundly affected by potassium imbalance.
Rationale 2: This value represents hyperkalemia. Both hyper- and hypokalemia are associated with fatal dysrhythmias and serious neuromuscular disorders.
Rationale 3: The hematological system is not the body system most profoundly affected by potassium imbalance.
Rationale 4: The genitourinary system is not the body system most profoundly affected by potassium imbalance.
Global Rationale: This value represents hyperkalemia. Both hyper- and hypokalemia are associated with fatal dysrhythmias and serious neuromuscular disorders. The respiratory system, hematological system, and genitourinary system are not the most profoundly affected by potassium imbalance.
Gunnar Kaasen and Balto, the lead dog on the last relay team of the 1925 serum run to Nome.
A nurse prepares a client for anesthesia and surgery.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Nurse examining and measuring hematuria sample from client with a UTI
Broca’s Area
The fuel level must be above 15% and below 85% before the EVAP monitor will run on most vehicles.