ATI: Fluid, Electrolyte, and Acid-Base Regulation

A nurse is caring for a client who requires a replacement peripheral IV. The client is dehydrated and requires a smaller gauge catheter than the #20-gauge being replaced. Which of the following gauge catheters should the nurse plan to use?

#22-gauge

A nurse is reviewing prescriptions for a client who needs intravenous fluid replacement therapy due to vomiting and diarrhea. Which of the following fluid prescriptions should the nurse expect in initiate?

0.9% sodium chloride solution

A nurse is calculating a client's I & O for the last 4 hrs. The client consumed 480mL of water & 240mL of coffee. The client has also received IV fluids for 4 hours infusing at 100mL/hr. Which of the following amounts represents the client's I & O over the last 4 hours?

1,120 mL

A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hours. The nurse should set the IV pump to deliver how many mL/hr?

150 mL/hr

A nurse is preparing to administer 4,200 mL of intravenous fluids to a client to infuse over 24 hours. The nurse should set the IV pump to deliver how many mL/hr?

175 mL/hr

A nurse is receiving report on 4 clients. The nurse should identify that which of the following clients might be experiencing hypomagnesemia?

A client who has vomited 4 times during the last 8 hours.

A nurse is participating in a blood drive and is taking a donation from a client who has type A- blood. The client asks the nurse what blood types can receive their blood donation. Which of the following responses should the nurse make?

A+, AB+, A-, AB-

A nurse is caring for a client who has the following ABG values: pH 7.44, PaCO2 37 mm Hg, and HCO3 24 mEq/L. The nurse should identify that these values are an indication of which of the following?

Acid-base balance

A nurse is teaching a newly licensed nurse about using the nursing process when caring for a client who has an acid-base imbalance. The nurse should include that the stages of the nursing process should be performed in what order?

Assessment Analysis Planning Implementation Evaluation

A nurse is assessing a client who has been receiving IV therapy for several days and notes that the client's daily weight has increased. The nurse should identify that the client is at increased risk for developing which of the following IV-related complications?

Circulatory overload

A nurse is caring for an older adult client who is experiencing dehydration. The nurse should identify that which of the following factors increase the risk for dehydration in older adult clients?

Decreased kidney function Decreased thirst response Decreased total body fluid

A nurse caring for a client who is experiencing hypovolemia. Which of the following findings should the nurse identify as the priority to report to the provider?

Decreases in level of consciousness

A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first?

Elevate the head of the client's bed

A nurse is reviewing the latest ABG values for a client who is experiencing metabolic alkalosis. The nurse should identify that this action is part of which of the following steps of the nursing process.

Evaluation

A nurse is caring for a client who is experiencing respiratory alkalosis. Which of the following actions should be the goal of treatment for the client?

Increase the carbon dioxide level.

A nurse is caring for a client who has a PICC line. For Which of the following complications should the nurse monitor?

Infection at the access site.

A nurse is reviewing a client's laboratory results. Which of the following results should the nurse report to the provider?

Magnesium 3mEq/L

A nurse is reviewing the ABG values for a client and notes the following results: pH 7.49, PaCO2 39 mm Hg, HCO3 35 mEq/L. The nurse should interpret this ABG reading as an indication of which of the following acid-base imbalance?

Metabolic alkalosis

A nurse is reviewing a client's latest arterial blood gas (ABG) report. Which of the following values should the nurse identify as a priority to report to the provider?

PaO2 76 mm Hg

A nurse on a pediatric floor is teaching a newly licensed nurse about IV therapy. Which of the following information should the nurse include?

Performing range of motion exercises on the extremity containing the IV site.

A nurse has completed assessing and analyzing data for a client who has an acid-base imbalance. Which of the following steps of the nursing process should the nurse take next?

Planning

A nurse is reviewing lab results for a client and notes the following ABG values: pH 7.31, PaCO2 49 mm Hg, and HCO3 25mEq/L. the nurse should interpret these findings as an indication of which of the following acid-base imbalance?

Respiratory acidosis

A nurse is assessing a client who is exhibiting signs of a fluid and electrolyte imbalance. Which of the following findings should the nurse identify as a potential cause for the client's fluid and electrolyte imbalance?

The client reports that they performed yard work for 8 hr in 95 degree temperature

A charge nurse is observing a newly licensed nurse who is preparing to administer a blood transfusion to a client. For which of the following actions by the newly licensed nurse should the charge nurse intervene?

The nurse selects 0.45% sodium chloride to use to prime the tubing.

A nurse is preparing to start an IV for a client who has a high risk for bleeding. Which of the following actions should the nurse take?

Apply a blood pressure cuff set to 30 mm Hg

A nurse is caring for a client who has a prescription to receive one unit of packed red blood cells. The client's blood type is AB+, and the nurse receives a unit of A- blood from the blood bank. Which of the following actions should the nurse take?

Verify the unit of blood with another nurse.

A nurse is participating in a blood drive & is taking a donation from a client who has type O+ blood. The client asks the nurse what type of blood they can receive. Which of the following statements should the nurse make?

You can receive a blood donation from donors with type O- and type O+ blood

A nurse is caring for a client who is receiving treatment for hyponatremia. The nurse should identify that which of the following findings is an indication that the treatment has been effective?

The client stats their muscle spasms are absent The client denies being confused

A nurse is reviewing ABG values for a client who is experiencing uncompensated metabolic acidosis. Which of the following ABG values should the nurse expect?

pH 7.29 PaCO2 35 mm Hg HCO3 19 mEq/L

A nurse is caring for a client who has heart failure and a prescription to receive a unit of packed red blood cells. The nurse should plan to infuse the blood over which of the following lengths of time?

4 Hours