Fluids and electrolytes.txt

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Delina
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237237
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Fluids and electrolytes.txt
Updated:
2013-09-26 15:37:20
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med surge
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med surge test 2
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  1. Nurses reading a physician's progress note and the client record and reads that the physician has documented "in sensible fluid loss of approximately 800 mL daily". The nurse understands that this type of fluid loss can occur through?
    The skin
  2. The nurse is assigned to care for a group of clients. On review of the clients medical records the nurse determines that which client is at risk for deficient fluid volume?
    1. The client with a colostomy
    2. A client with congestive heart failure
    3. The client with decreased kidney function
    4. A client receiving frequent wound irrigations
    1. A client with a colostomy
  3. A nurse caring for a client who's been receiving IV diuretics suspects that the client is experience a experiencing A deficient fluid volume. Which assessment findings would the nurse note in a client with this condition?
    1. Lung congestion
    2. Decreased hematocrit
    3. Increased blood pressure
    4. Decreased central venous pressure
    4. Decrease central venous pressure
  4. A nurse is assigned to care for a group of clients. On review of the clients medical records the nurse determined that which client is at risk for excessive fluid volume?
    1. The client taken diuretics
    2. The client with renal failure
    3. The client with an ileostomy
    4. The client who requires gastrointestinal suctioning
    2. The client with renal failure
  5. The nurses caring for a client with congestive heart failure. On assessment the nurse notes that the client is dyspneic. The nurse suspects excess fluid volume. What additional signs would the nurse expect to note in this client if excess fluid volume is present?
    1. Weight-loss
    2. Flat neck and hand veins
    3. An increase in blood pressure
    4. A decreased central venous pressure
    3. And increase in blood pressure
  6. The nurse is preparing to care for a client with a potassium deficit. The nurse reviews the clients record and determined that the client was at risk for developing the potassium deficient because the client?
    1. Has renal failure
    2. Requires nasogastric section
    3. Has a history of Addison's disease
    4, is taking a potassium sparing diuretic
    2. Requires nasogastric suction
  7. A nurse reviews a clients electrolyte laboratory results and notes that the potassium level is 3.2 mEq/ L. Which of the following would the nurse note on the electro cardiogram as a result of the laboratory value?
    1. U waves
    2. Absent P waves
    3. Elevated T waves
    4. Elevated ST segment
    1. U waves
  8. A nursing student needs to administer potassium chloride IV as prescribed to a client with hypo kalemia. The nursing instructor determined that the student is on prepared for this procedure if the student states that which of the following is part of the plan for preparation and administration of the potassium?
    1. Obtaining a controlled IV infusion pump
    2. Monitoring urine output during administration
    3. Diluting an appropriate amount of normal sailing
    4. Preparing the medication for bolus administration
    4. Preparing the medication for bolus administration
  9. A nurse instructs a client at risk for hypokalemia about the foods high in potassium that should be included in the daily diet. The nurse determines that the client understand the food sources of potassium if the client states that the food items lowest and potassium is?
    1. Apples
    2. Carrots
    3. Spinach
    4. Avocado
    1. Apple
  10. A nurse caring for a group of clients reviews the electrolyte laboratory results and notes a potassium level of 5.5 mEq/L on the one clients laboratory report. The nurse understands that which client at highest risk for development of a potassium value at this level?
    1. The client with colitis
    2. The client with cushions syndrome
    3. The client who has been overusing laxatives
    4. The client who sustained a traumatic burn
    4. The client his sustained a traumatic burn
  11. The nurse reviews the electrolyte result of an assigned client and notes that the potassium level is 5.4 mEq/L . Which of the following would the nurse expect a note on the electro cardiogram as a result in the laboratory value?
    1. ST depression
    2. Invert to T-wave
    3. Prominent you wave
    4. Tall peak T waves
    4. Told Peak T waves
  12. The nurse caring for a group of client review the electrolyte laboratory results and notes a sodium level of 130 mEq/L on one client laboratory report. The nurse understands that which client is at highest risk for the development of sodium value at this level ?
    1. The client with renal failure
    2. The client is taking diuretics
    3. The client with hyperaldosteronism
    4. The client who is taking corticosteroids
    2. The client whose taking diuretics
  13. A nurses caring for a client with a acute congestive heart failure who is receiving high doses of a diuretic. On assessment the nurse notes that the client has flat neck veins generalized muscle weakness and diminished deep tendon reflexes. The nurse suspects hyponatremia. What additional signs would the nurse expect to note in this client if hyponatremia was present?
    1. Dry skin
    2. Decreased urinary output
    3. Hyperactive bowel sounds
    4. Increased specific gravity of the urine
    3. Hyperactive bowel sounds
  14. A nurse is caring for a client with a nasal gastric tube. Nasogastric tube irrigations are prescribed to be performed once every shift. The clients serum electrolyte results indicate at potassium level of 4.5 mEq/L and a sodium level of 132 mEq/L . Based on these laboratory findings the nurse selects which solution to use for the nasogastric tube irrigation.
    1. Tap water
    2. Sterile water
    3. Sodium chloride
    4. Distilled water
    3. Sodium chloride
  15. A nurse is reviewing laboratory results and notes that a clients serum sodium level is 150 mEq/L. The nurse reports to serum sodium level to the physician and the physician prescribes dietary instructions based on the sodium level. Which food item does the nurse instruct the client to avoid?
    1. Peas
    2. Cauliflower
    3. Low-fat yogurt
    4. Processed oats cereal
    4. Processed oats cereal
  16. A nurse is reviewing a client laboratory report and notes that this Serum calcium level is 4.0 mg/dL. The nurse understands that which condition most likely causes serum calcium level?
    1. Prolonged bedrest
    2. Renal insufficiency
    3. Hyper parathyroid ism
    4. Excessive ingestion of vitamin D
    1. Prolonged bed rest
  17. A nurse is assessing a client with a suspected diagnosis of hypocalcemia. Which of the following clinical manifestations would the nurse expect to notes and the client?
    1. Twitching
    2. Negative Trousseau's sign
    3. Hypo active bowel sound
    4. Hypoactive deep tendon reflexes
    1. Twitching
  18. A nurse caring for a client with hypocalcemia would expect to know which of the following changes on the electro cardiogram?
    1. Widened T-wave
    2. Prominent U wave
    3. Pro long QT interval
    4. Shortened ST segment
    3. Prolonged QT interval
  19. A nurse caring for a client was severe malnutrition reviews a laboratory results and notes and magnesium level of 1.0 mg/dL . Which electro cardiogram change with the nurse expect a note based on the magnesium level?
    1. Prominent U wave
    2. Prolonged PR interval
    3. Depressed ST segment
    4. Widened QRS complexes
    3. Depressed ST segment
  20. A nurse reviews a client laboratory report and notes that the client serum phosphorus level is 2.0 mg/dL. Which condition most likely causes this serum potassium level?
    1. Alcoholism
    2. Renal insufficiency
    3. Hypoparathyroidism
    4. Tumor lysis syndrome
    1. Alcoholism

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