Fluid and Electrolytes

A nurse is calculating a client's intake and output for an 8-hr shift. The client's intake included 1,000 mL 0.9% sodium chloride IV, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup; 3 oz of flavored gelatin, and 3 oz of ice cream. How many mL should the nurse document as the client's total intake for the shift? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

1720 ml

A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

Obtain a 12 lead ekg

A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?

hyperurecemia

A nurse in an emergency department is assessing an infant who is dehydrated. Which of the following findings should the nurse expect?

irritability

A nurse is admitting a 6-month-old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?

2ml

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?

c. lethargy A serum calcium of 12.3 mg/dL is above the expected range. The nurse should monitor the client for lethargy, generalized weakness and confusion.

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 been NPO since midnight for endoscopy. The client who has left-sided heart failure and has a brain natriuretic peptide (BNP) level of 600 pg/mL. The client who has end-stage renal failure and is scheduled for dialysis today. The client who has gastroenteritis and is febrile.

client who has gastroentirits and is febrile (showing s&s of fever) gastroenteritis is characterized by diarrhea and possible vomiting which can cause significant fluid loss. fever can lose fluid via diaphoresis and raises metabolic rate.renal failure and heart failure cause fluid excess