Electrolytes Prepu
A client has been diagnosed with a gastrointestinal bleed and the health care provider has ordered a transfusion. At what rate should the nurse administer the client's packed red blood cells?
1 unit over 2 to 3 hours, no longer than 4 hours
The nurse is administering intravenous (IV) therapy to a client. The nurse notices acute tenderness, redness, warmth, and slight edema of the vein above the insertion site. Which complication related to IV therapy should the nurse most suspect?
Phlebitis
A client has been diagnosed with excessive levels of aldosterone. The nurse's assessment will include what value?
Potassium level
A nurse monitoring an IV infusion notes the signs and symptoms of a thrombus (blood clot). Which nursing interventions would the nurse perform? Select all that apply
Stop the infusion immediately Apply warm compresses as ordered by the primary care provider Restart the IV at another site
The oncoming nurse is assigned to the following clients. Which client should the nurse assess first?
a newly admitted 88-year-old with a 2-day history of vomiting and loose stools risk for hypovolemia
A client has been admitted with fluid volume deficit. Which assessment data would the nurse anticipate? Select all that apply.
blood pressure 100/48 mmHg poor skin turgor heart rate 128/bpm
Magnesium, potassium, and calcium are
cations- positive
A client who is NPO prior to surgery reports feeling thirsty. What is the physiologic process that drives the thirst factor
decreased blood volume and intracellular dehydration
Edema happens when there is which fluid volume imbalance?
extracellular fluid volume excess
Signs of potassium defecit, or hypokalemia
muscle weakness, fatigue and arrythmias
Aldosterone regulates the extracellular concentration of
potassium
A client has been receiving intravenous (IV) fluids that contain potassium. The IV site is red and there is a red streak along the vein that is painful to the client. What is the priority nursing action?
remove the IV
When capping a primary line for intermittent use, a nurse notices local, acute tenderness; redness, warmth, and slight edema of the vein above the insertion site. Which complication has most likely occurred
thrombus
An intravenous hypertonic solution containing dextrose, proteins, vitamins, and minerals is known as:
total parenteral nutrition
A nurse is assessing a client and suspects an ECF volume excess. Which finding would the nurse identify as being most significant?
weight gain of 0.75 kg in a day
A client's blood pressure has dropped from 146/92 mmHg to 107/68 mmHg over the course of several minutes. Increased levels of which of the following will be released into the client's bloodstream?
Decreased arterial blood pressure can stimulate *renin*
A 50-year-old client with hypertension is being treated with a diuretic. The client reports muscle weakness and fatigue and the nurse's assessment reveals an irregular heart rate. The nurse should assess the client's levels of which electrolyte?
Potassium
The nurse is caring for a client receiving intravenous fluids through a peripheral intravenous catheter (IV). On rounds, the nurse notes that the client's IV site and arm are swollen and cool to the touch. Based on these assessment findings, what will the nurse do next?
Remove the peripheral intravenous catheter. The assessment findings of a swollen IV site with surrounding tissue swelling and cool to touch indicate infiltration
When calculating the infusion rate with an electronic device, divide the total volume to be infused (1,000 mL) by the total amount of time in hours (12).
The nurse is calculating an infusion rate for the following order: Infuse 1,000 mL of 0.9% NaCl over 12 hours using an electronic infusion device. What is the infusion rate 83
The nurse is caring for a client, who was admitted after falling from a ladder. The client has a brain injury which is causing the pressure inside the skull to increase that may result in a lack of circulation and possible death to brain cells. Considering this information, which intravenous solution would be most appropriate?
hypertonic solution bc has a greater osmolarity, water moves out of the cells and is drawn into the intravascular compartment, causing the cells to shrink.
A client is admitted to the facility after experiencing uncontrolled diarrhea for the past several days. The client is exhibiting signs of a fluid volume deficit. When reviewing the client's laboratory test results, which electrolyte imbalance would the nurse likely to find?
hypokalemia
Upon assessment of a client's peripheral intravenous site, the nurse notices the area is red and warm. The client complains of pain when the nurse gently palpates the area. These signs and symptoms are indicative of:
phlebitis
