Nclex on

An assessment indicates that a client's skin rebounds from slight pressure in slightly less than 2 seconds. How should the nurse document this finding?

+1 pitting edema

Which assessments should the nurse conduct to identify possible indicators of fluid and electrolste imbalances? Select all that apply.

-Skin for poor skin turgor -Respiratory for breathing pattern - Urinary for comparison between intake and output

Which serum sodium level confirms a diagnosis of hyponatremia?

130 mEg/L

Which client should the nurse monitor closely for an increased risk for developing edema?

A 78-year-old client diagnosed with liver cirrhosis

Woe nurse is preparing a client for lesting to defermine acidosis or alkalosis. Which laboratory test Would be order

Arterial blood gas (ABG)

Which major electrolyte in the extracellular fluid (ECP) influences the distribution of water and maintains acid- base balance and nerve function?

Calcium

A 25-year-old client is admitted to a healthcare facility with reports of fever, vomiting, and watery diarrhea for 2 days. On examination, the client has dry skin, delayed skin turgor, and hypotension. Which is an appropriate nursing diagnosis?

Deficient fluid volume

The nurse is caring for a client diagnosed with fluid volume excess that has resulted in edematou legs. Which intervention should the nurse implement to help resolve the edema?

Elevate the legs to a position higher than the heart's level.

What is a common cause of fluid volume excess?

Excess ingestion of sodium from table salt or medications containing sodium

The nurse, caring for a postoperative client, documents the following data: flushed dry skin mucous membranes, hypotension, and lethargy. The client states that he is thirsty and requ Which medical condition is supported by this data?

Hypernatremia

Which is a cause of fluid retention in the body?

Increased venous pressure

Which is the preferred route of electrolyte administration when the oral route is contraind

Intravenous

A nurse assessing a client documents +4 pitting edema in several different locations. Which condition is commonly associated with +4 pitting edema?

Sacral edema

Which discharge instruction should the nurse provide a client diagnosed with chronic renal failure?

Which discharge instruction should the nurse provide a client diagnosed with chronic renal failure?