5103 Week 3 ATI quiz - fluids

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

0.45% sodium chloride

Caused by hyperventilation from acute pain or anxiety. Blood criteria: pH < 7.45 PaCO2 < 35 HCO3 22-26

respiratory alkalosis

A nurse is caring for a client who had IV fluids initiated at 0330. The IV fluids are infusing at 120 mL/hr. The nurse should record how many mL of IV fluids on the intake record at 0600?

300

pH < 7.35

Acidosis

pH > 7.45

Alkalosis

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

PaCO250 mmHG

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

sodium 126

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

a client who has diarrhea

Conditions including COPD and pneumonia can lead to this. Blood criteria pH <7.35 PaCO2 >45 HCO 22-26

respiratory acidosis

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

bicarbonate excess circumoral parathesia

A nurse is reviewing a client's laboratory report of blood gas findings: HCO3 18 and PaCO2 28. Which of the following pH values and conditions should the nurse expect when interpreting these findings?

decreased pH and metabolic acidosis

A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment?

lethargy

A nurse is caring for a client who has the following arterial blood gas results: HCO3 18 mEq, PaCO2 28mm Hg and pH 7.3. The nurse recognizes the client is experiencing which of the following acid base imbalances?

metabolic acidosis

Caused by ketoacidosis. Blood criteria: pH <7.35 PaCO2 35-45 HCO < 22

metabolic acidosis

HCO3 < 21 mEq/L

metabolic acidosis

PaO2 is within 80 - 100 mm HG

metabolic acidosis

Which acid base imbalance causes numbness and tingling of the toes and fingers?

metabolic alkalosis

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

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

pH < 7.35

A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32 PaCo248 mmHg and the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate of which of the following acid base balances?

respiratory acidosis

A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?

urine specific gravity 1.035

A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?

weak, irregular pulse


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