H356 Pre-Quiz Adults F/E and Fluid Imbalances
A nurse is assessing a client who has sodium level of 116mEq/L. Which of the following findings should the nurse expect?
nausea and vomitting
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
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 39 degrees C
a nurse is caring for a client who has a prescription for potassium chloride 20mEg PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2mEg/L. which of the following actions should the nurse take?
Call the prescribing physician and inform her of the client's serum potassium level results
a nurse is reviewing a client's laboratory values and discovers the client has a serum potassium of 6.2. which of the following interventions should the nurse anticipate?
administering sodium polystyrene sulfonate
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 assessing an older client who is receiving IV therapy. the nurse should recognize that which of the following findings indicates fluid volume excess.
bounding pulse, pitting edema, crackles upon auscultation
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? na- 152 K- 3.6 CL- 105 Glucose- 102 BUN -18 Cr 0.7
dehydration
a nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. which of the following assessments is an indication that the client might be experiencing circulatory overload?
dyspnea
The nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. which of the following instructions should the nurse include?
eat foods that contain plenty of potassium
a nurse is assessing a client who has fluid overload. which of the following findings should the nurse expect?
increased HR, BP, RR
a nurse is reviewing the laboratory results of a client who takes furosemide. which of the following results should the nurse identify as the priority finding?
potassium 2.9mEg/L
a nurse is performing an admission assessment of a client. which of the following findings should the nurse identify as an indication that the client is dehydrated?
skin tenting present
a nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8. which of the following medications should the nurse plan to administer.
sodium polystyrene
a nurse is caring for four clients who have drainage tubes. which of the following clients should the nurse recognize as being at risk for hypokalemia?
the client who has a NG tube to suction
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
