Medical-Surgical 2016: Fluid, Electrolyte, And Acid Base Imbalances

25 July 2022
4.7 (114 reviews)
30 test answers

Unlock all answers in this set

Unlock answers (26)
question
A nurse is assessing a client who has dehydration. Which of the following is the priority?
answer
Mental status
question
A nurse is assessing a client who is using PCA following a thoracotomy. The client is short of breath, appears restless, and has a respiratory rate of 28/min. The client's ABG results are pH 7.52, PaO2 89mmHg, PaCO2 28mmHg, and HCO3- 24mEq/L. Which of the following actions should the nurse take?
answer
Provide calming interventions
question
A nurse is caring for a client who has a sodium level of 155mEq/L. Which of the following IV fluids should the nurse anticipate the provider to prescribe?
answer
0.45% sodium chloride
question
A nurse is evaluating a client who is receiving IV fluids to treat isotonic dehydration. Which of the following laboratory findings indicates that the fluid therapy has been effective?
answer
Serum sodium 138mEq/L
question
A nurse is providing dietary teaching to a client who has kidney disease. Which of the following food choices should the nurse include in the teaching as containing the lowest amount of magnesium?
answer
1 large hard-boiled egg
question
A nurse is caring for a client who is receiving furosemide daily. During the morning assessment, the client tells the nurse that he is "feeling weak in the legs." Which of the following actions should the nurse take first?
answer
Auscultate the client's lungs
question
While reviewing a client's laboratory results, a nurse notes a serum calcium level of 8.0mg/dL. Which of the following actions should the nurse take?
answer
Implement seizure precautions
question
A nurse is admitting a client who takes 40mg furosemide daily for heart failure and has experienced 3 days of vomiting. The nurses suspects hypokalemia. Which of the following medications should the nurse prepare to administer?
answer
0.9% sodium chloride with 10mEq/L of potassium chloride at 100mL/hr
question
A nurse is assessing a client who is receiving hydrochlorothiazide and notes that the client is confused and lethargic. Which of the following laboratory values should the nurse report to the provider?
answer
Sodium 128mEq/L
question
A nurse is caring for a client who is experiencing respiratory distress as a result of pulmonary edema. Which of the following actions should the nurse take first?
answer
Initiate high-flow oxygen therapy
question
A nurse is reviewing the ABG results for four clients. Which of the following findings should the nurse identify as metabolic acidosis?
answer
pH 7.26, PaO2 84mmHg, PaCO2 38mmHg HCO3- 20mEq/L
question
A nurse is assessing a client who has hypomagnesemia. Which of the following findings should the nurse expect?
answer
Hyperactive deep-tendon reflexes
question
A nurse is caring for a client who requires continuous cardiac monitoring. The nurse identifies a prolonged PR interval and a widened QRS complex. Which of the following laboratory values supports this finding?
answer
Potassium 6.1mEq/L
question
A nurse is reviewing the laboratory report of a client who has fluid volume excess. Which of the following laboratory values should the nurse expect?
answer
Hematocrit 34%
question
A nurse is admitting a client who has status asthmaticus. The client's ABG results are pH 7.32, PaO2 74mmHg, PaCO2 56mmHg, and HCO3- 26 mEq/L. The nurse should interpret these laboratory values as which of the following imbalances?
answer
Respiratory acidosis
question
A nurse is caring for a client who has dehydration and is receiving IV fluids. When assessing for complications, the nurse should recognize which of the following manifestations as a sign of fluid overload?
answer
Bounding peripheral pulses
question
A nurse is planning care for a client who has a serum potassium level of 3.0mEq/L. The nurse should plan to monitor the client for which of the following findings?
answer
Orthostatic hypotension
question
A nurse is preparing to administer oral potassium for a client who has a potassium level of 5.5mEq/L. Which of the following actions should the nurse take first?
answer
Withhold the medication
question
A nurse is providing teaching for a client who is at risk for developing respiratory acidosis following surgery. Which of the following statements by the client indicates an understanding of the teaching?
answer
I will use the incentive spirometer every hour
question
A nurse is teaching nutritional strategies to a client who has a low serum calcium level and an allergy to milk. Which of the following statements by the client indicates an understanding of the teaching?
answer
I will add broccoli and kale to my diet
question
A nurse is reviewing the medical record of a client who has diabetes mellitus and is receiving regular insulin by continuous IV infusion to treat diabetic ketoacidosis. Which of the following findings should the nurse report to the provider?
answer
Serum potassium 3.0mEq/L
question
A nurse is caring for a client who requires nasogastric suctioning. Which of the following sets of laboratory results indicates that the client has metabolic alkalosis?
answer
pH 7.51, PaO2 94mmHg, PaCO2 36mmHg, HCO3- 31mEq/L
question
A nurse is planning care for a client who has experienced excessive fluid loss. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)
answer
Administer IV fluids to the client evenly over 24hours Encourage the client to rise slowly when standing up Weigh the client every 8hours
question
A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?
answer
Hypotension
question
A nurse is providing teaching for a client who has venous insufficiency of the lower extremities. Which of the following statements by the client indicates an understanding of the teaching?
answer
When I sit down to watch television. I'll be sure to put my feet up
question
A nurse is providing dietary teaching to a client who has heart failure and is receiving furosemide. Which of the following foods should the nurse recommend as containing the greatest amount of potassium?
answer
1 cup plain yogurt
question
A nurse is caring for a client who reports difficulty breathing and tingling in both hands. His respiratory rate is 36/min and appears very restless. Which of the following values should the nurse anticipate to be outside the expected reference range if the client is experiencing respiratory alkalosis?
answer
PaCO2
question
A nurse is assessing a client who has a serum calcium level of 8.1mg/dL. Which of the following findings is the priority for the nurse to assess?
answer
Cardiac rhythm
question
A nurse is assessing a client who has hyperkalemia. Which of the following findings should the nurse expect?
answer
Decreased muscle strength
question
A nurse is assessing a client who has a phosphorus level of 2.4mg/dL. Which of the following findings should the nurse expect?
answer
Slow peripheral pulses