ABG/Electrolyte ati

A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit.??

The client who has Gastroenteritis and is febrile

A nurse is caring for four clients with drainage tubes. Which of the following is at risk for hypokalemia?

The client who has the NG tube to suction

A nurse is reviewing the arterial blood gas result of a client who the provider suspects as metabolic acidosis. Which of the following results should the nurse expect to see?

PH below 7.35

A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?

Nausea and vomiting

nurse is planning care for a pt who has dehydration and is receiving a continuous IV infusion of sodium chloride. which intervention should the nurse include in plan of care?

Offer the client 240 mL of oral fluids every 4 hours

A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include? Select all that apply.

Relief of urinary retentionMeasurement of residual urine after urinationAn open perineal wound

A client is admitted to the emergency room with a respiratory rate of seven per minute. ABG reveal the following values. Which of the following is appropriate analysis of the ABGs? pH 7.22 PaCO2 68 mm Hg Base excess -2 PaCO2 78 mm Hg Saturation 80% Bicarb 26 mEq/L

Respiratory acidosis

A nurse is caring for a client who is post operative in his respirations are shallow and nine per minute. which of the following acid-based and balances should the nurse identify the client as being at risk for developing initially?

Respiratory acidosis

A nurse is caring for a client who's arterial blood gas results show a P age of 7.3 and a PACO to a 50 mm HG. The nurse should identify that the client is experiencing which of the following acid base inbalances?

Respiratory acidosis

A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

Use soap and water to wash the catheter after each use

A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

"I will make a list of my favorite bevarages"

A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply.)

"Your provider might prescribe anticholinergic medications" "You should limit fluids in the evening". "You should restrict your intake of caffeine"

A nurse is caring for a client who has Hyper natremia and requires IV fluid therapy due to his NPO status. Which of the following solution should the nurse prepared to infuse for this client?

0.45% sodium chloride

The nurse is calculating the intake and output for post operative client at the end of the shift. The nurse notes the following: client voided 400 mL at 1100 and 350 mL at 1430. Closed chest drainage system was previously marked at 155 mL and is now at 175 mL. Nasogastric tube has 575 mL in drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube. How many milliliters should the nurse chart as the clients output?

1370 ml

A nurse is assessing four clients for fluid balance. The nurse should identify that which of the following clients is exhibiting manifestations of dehydration?

A client who has a temperature of 102 F

A nurse is reviewing the medical records of four clients who have an acid base inbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?

A client who has diarrhea

A nurse is caring for a client with an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?

Check the catheter tubing for kinks or twisting.

A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the clients EKG should the nurse interpret as a sign of hypokalemia?

Abnormally prominent U wave

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium?

Bananas

A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical Manifestation should the nurse monitor?

Bicarbonate excess Circumoral paresthesia

A nurse is caring for a client who has an indwelling urinary catheter and notes blood tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?

Bladder infection

A nurse in an emergency department is caring for an infant who has a two day history of vomiting in an elevated temperature. Which of the following should the nurse recognized as the most reliable indicator of fluid loss?

Body weight

A nurse is caring for a client who has one day PO following a sub total thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?

Chvostek's sign

A nurse is providing teaching to a client has renal failure and an elevated phosphorus level. The provider instructor the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse affects your the nurse informed the client?

Constipation

A nurse is reviewing a clients laboratory report of blood gas findings: HCO3= 18 mEq/L and PaCO2 28 mm Hg. Which of the following PH values and condition should the nurse expect when interpreting these findings?

Decrease PH and metabolic acidosis

A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?

Dehydration

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?

Finasteride

A nurse in a community clinic is assessing an older adult client for manifestations of dehydration which of the following findings should the nurse expect?

Furrows in the tongue

A nurse is caring for a client who has heart failure and is receiving iv furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?

Hyperuricemia

A nurse is assessing a client with fluid overload. What following should the nurse expect?

Increased HR Increased BP Increased RR

A nurse on a medical surgical unit is performing an admission assessment on a client who has COPD with emphysema. The client reports that he has a frequent productive cough and the short of breath. The nurse should I anticipate which of the following assessment findings for the client?

Increased anteroposterior diameter of the chest

A nurse is caring for a client who has the following arterial blood gas results: HCO3 18 mEq, PaCO2 28 mm Hg and pH 7.30. The nurse recognizes the client is experiencing which of the following acid base and balances?The nurse recognizes the client is experiencing which of the following acid base inbalances?

Metabolic acidosis

A nurse is admitting a client who has influenza and is reporting numbness and tingling of the toes and fingers. The nurse should recognize the client is experiencing which of the following acid base inbalances?

Metabolic alkalosis

A nurse is admitting a patient who reports flu-like symptoms with hyperactive reflexes and a new onset of confusion. The nurse should recognize that the patient is experiencing which of the following conditions?

Metabolic alkalosis

A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?

Metabolic alkalosis

A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?

PaCO2 50 mm Hg

A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8mEq/L. Which of the following medications should the nurse plan to administer?

Sodium polystyrene

A nurse is performing discharge teaching with the client about the care of a newly created ilea conduit. The nurse should instruct the client to empty the appliance

When the bag is 2/3 full

A nurse is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the nurse expect?

Widened QRS complex