The nurse understands that the rationale(s) for clients receiving intravenous (IV) therapy is/are to: (SELECT ALL THAT APPLY)

compensate for an ongoing problem affecting other fluid or electrolytes.

Increase urine specific gravity to 1.045.

move fluid into an area that is physiologically unavailable.

correct imbalance in fluid and electrolytes.

expand intravascular volume.

Answer and Explanation

Correct Answer : A,D,E

Choice A rationale: Compensating for an ongoing problem affecting other fluid or electrolytes is a common rationale for IV therapy.

Choice B rationale: Increasing urine specific gravity to 1.045 is not a typical goal for IV therapy. IV therapy would decrease the urine specific gravity by diluting the urine with fluids.

Choice C rationale: Moving fluid into an area that is physiologically unavailable is not a primary goal of IV therapy. Physiologically unavailable areas are those that are separated from the rest of the body by a membrane or barrier, such as the cerebrospinal fluid, the intraocular fluid, or the pleural fluid. IV therapy does not cross these barriers and only affects the intravascular and interstitial spaces.

Choice D rationale: Correcting imbalance in fluid and electrolytes is a primary goal of IV therapy.

Choice E rationale: Expanding intravascular volume is a common goal of IV therapy, especially in cases of dehydration or hypovolemia.

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Correct Answer is C

Explanation

Choice A rationale: The normal stimulus to breathe is an increased carbon dioxide level, which stimulates the respiratory center in the brain.

Choice B rationale: Increased oxygen levels do not serve as the primary stimulus for breathing. The respiratory center is primarily responsive to carbon dioxide levels.

Choice C rationale: Increased carbon dioxide level is the correct stimulus for normal breathing.

Choice D rationale: Decreased oxygen level is not the primary stimulus for normal breathing.

A. suctioning once every eight hours is a part of routine pulmonary nursing care. B. the physician has prescribed suctioning every hour. C. the client has thick sputum, and routinely coughs and swallows his sputum. D. the client has gurgling respirations, and is unable to cough.

Correct Answer is D

Explanation

Choice A rationale: Suctioning is not typically performed as part of routine pulmonary nursing care every eight hours. It is indicated based on the client's clinical need.

Choice B rationale: Suctioning frequency should be determined by the client's condition and physician's orders, not a fixed hourly schedule.

Choice C rationale: Routine coughing and swallowing of sputum do not necessarily warrant suctioning. Suctioning is indicated when the client is unable to manage secretions effectively.

Choice D rationale: Suctioning is appropriate when the client has gurgling respirations and is unable to cough effectively, indicating the need to clear the airway.

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The nurse understands that the rationale(s) for clients receiving intravenous (IV) therapy is/are to: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In providing care for clients, the nurse knows that the normal stimulus to breathe is a/an:

Correct Answer is C

Explanation

The nurse recognizes that the most appropriate reason to suction a client is that:

Correct Answer is D

Explanation

The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:

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