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Quiz

Fluid Balances, Electrolytes, and pH

cpeters 14 perguntas 5,0 (1 avaliação)

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Perguntas do quiz (14)

  1. 1A nurse is admitting a client who reports nausea, vomiting, and weakness. Upon assessment, the client has dry oral mucous membranes, temperature 38.5° C (101.3° F), pulse 92/min, respirations 24/min, skin cool with tenting present, and blood pressure 102/64 mm Hg. His urine is concentrated with a high specific gravity. Which of the following are clinical manifestations of fluid volume deficit? (Select all that apply.)
    1. ADecreased skin turgor
    2. BConcentrated urine
    3. CBradycardia
    4. DLow-grade fever
    5. ETachypnea
  2. 2A nurse is admitting an older adult client who is experiencing dyspnea, weakness, and weight gain of 2 lb, with 1+ bilateral edema of the lower extremities. Upon assessment, the client has a temperature 37.2° C (99° F), pulse 96/min, respirations 26/min, oxygen saturation 94% on 3 L oxygen via nasal cannula, and blood pressure 152/96 mm Hg. Which of the following clinical manifestations are indicative of fluid volume excess? (Select all that apply.)
    1. ADyspnea
    2. BEdema
    3. CBradycardia
    4. DHypertension
    5. EWeakness
  3. 3A nurse is caring for a client who is dehydrated. Which of the following clinical manifestations should the nurse assess for that is indicative of fluid volume deficit?
    1. AMoist skin
    2. BDistended neck veins
    3. CIncreased urinary output
    4. DTachycardia
  4. 4A nurse is caring for an older adult client in a long-term care facility. The client has become weak and confused. He ate 40% of his breakfast and lunch. Upon assessment, the client’s temperature is 38.3° C (100.9° F), pulse rate 92/min, respirations 20/min, and blood pressure 108/60 mm Hg. He has lost ¾ lb and reports dizziness when assisted to the bathroom. He also has a nonproductive cough with diminished breath sounds in the right lower lobe. Which of the following actions should the nurse take?
    1. AInitiate fluid restrictions to limit intake.
    2. BObserve for signs of hypertension.
    3. CEncourage the client to ambulate to promote oxygenation.
    4. DMonitor respirations for shortness of breath.
  5. 5A nurse is caring for a client who has laboratory findings of serum Na+ 133 mEq/L and K+ 3.4 mEq/L. Which of the following treatments can result in these laboratory findings?
    1. AThree tap water enemas
    2. B0.9% sodium chloride solution IV at 50 mL/hr
    3. C5% dextrose in water solution with 20 mEq of K+ IV at 80 mL/hr
    4. DAdministration of glucocorticoids
  6. 6A nurse is caring for a client who has a laboratory finding of serum potassium 5.4 mEq/L. The nurse should assess for which of the following clinical manifestations?
    1. AECG changes
    2. BConstipation
    3. CPolyuria
    4. DHypotension
  7. 7A nurse is caring for a client who has a nasogastric tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalances?
    1. AHypercalcemia
    2. BHyponatremia
    3. CHyperphosphatemia
    4. DHypomagnesemia
  8. 8A nurse is assessing a client for Chovstek’s sign. Which of the following techniques should the nurse use to perform this test?
    1. AApply a blood pressure cuff to the client’s arm.
    2. BPlace the stethoscope bell over the client’s carotid artery.
    3. CTap lightly on the client’s cheek.
    4. DAsk the client to lower his chin to his chest.
  9. 9A nurse is assessing a client who has hyperkalemia. Which of the following conditions is associated with this electrolyte imbalance?
    1. ADiabetic ketoacidosis
    2. BHeart failure
    3. CCushing’s syndrome
    4. DThyroidectomy
  10. 10A nurse is caring for a client admitted with confusion and lethargy. The client was found at home unresponsive with an empty bottle of aspirin lying next to her bed. Vital signs reveal a blood pressure of 104/72 mm Hg, heart rate of 116 beats/min with a regular rhythm, and a respiratory rate of 42/min and deep. Which of the following arterial blood gases findings should the nurse expect?
    1. ApH 7.68, PaO2 96 mm Hg, PaCO2 38 mm Hg, HCO3 - 24 mEq/L
    2. BpH 7.48, PaO2 100 mm Hg, PaCO2 28 mm Hg, HCO3 - 23 mEq/L
    3. CpH 6.98, PaO2 100 mm Hg, PaCO2 30 mm Hg, HCO3 - 18 mEq/L
    4. DpH 7.58, PaO2 96 mm Hg, PaCO2 38 mm Hg, HCO3 - 29 mEq/L

Informações

Descrição
ATI Quiz
Autor
cpeters
Idioma
English
Visualizações
221
Avaliação
5,0 de 5 · 1 avaliação
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