51.Patient: Margaret Chen, 78-year-old female Admission Diagnosis: Hyponatremia (serum sodium 122 mEq/L; normal: 135-145 mEq/L) History: Mrs. Chen was brought to the emergency department by her daughter, who reports her mother has been “acting confused” for the past 2 days. The patient lives alone and has been taking hydrochlorothiazide (HCTZ) for hypertension for 5 years. Her daughter states that during a recent heat wave, her mother increased her water intake significantly because she “didn’t want to get dehydrated.” Current Presentation: Confused and disoriented to time and place Complains of headache and nausea Appears lethargic but arousable Muscle weakness noted in extremities Reports recent vomiting (2 episodes yesterday) Vital Signs: BP: 108/68 mmHg HR: 88 bpm RR: 18 breaths/min Temp: 98.2°F (36.8°C) Laboratory Results: Serum sodium: 122 mEq/L (Low) (normal range 135-145 mEq). Serum osmolality: 260 mOsm/kg (Low)  (normal range 280-294 mOsm/kg) Urine specific gravity: 1.002 (Dilute) (normal 1.005-1.030) The nurse is caring for Mrs. Chen, who has a serum sodium of 122 mEq/L. Which assessment findings are consistent with hyponatremia? (Select all that apply)

27.  A client involved in a motor vehicle accident is transported to the emergency department.  Which assessment finding is priority for the nurse to report to the healthcare provider (HCP)?

55.  A client with type 1 diabetes has an insulin order for Humulin Regular Insulin 25 units each morning at 0730.  The client has also been instructed not to take anything by mouth (NPO) in preparation for laboratory work that will be done at 0630.  Which action would the nurse plan to implement next?

54.The nurse is caring for residents in a long-term care facility. Which intervention is most effective in preventing dehydration in older adults?

4. A patient taking ginseng daily is admitted for preoperative preparation. The nurse should monitor the patient for which adverse effect?

45.A nurse is caring for a client diagnosed with deep vein thrombosis (DVT) who is receiving heparin therapy. Which assessment finding should be reported to the healthcare provider immediately?

15. Which medication is recommended as first-line treatment for long-term control of persistent asthma in children?

2. A patient reports feeling their abdominal incision “pulling apart.” Place the nursing actions in the correct order: Cover wound with sterile saline-soaked dressings Administer opiods as prescribed Position patient in semi-Fowler with knees flexed Notify the Healthcare Provider Obtain surgical consent 

9. A 12-year-old boy arrives at the pediatric clinic with hives on the face and trunk. Respirations 24 breaths/minute and O2 sat 97%. Lung sounds are clear. There is no swelling of the face or lips. What action should the nurse take?

30. A nurse is teaching a patient who has been prescribed phenazopyridine (Pyridium) for a urinary tract infection. Which statement by the patient indicates understanding of the medication?