NRSG 102 lecture review for test1 17?'s

7. A patient has been involved in a traumatic accident and is hemorrhaging from multiple sites. The nurse expects the compensatory mechanisms associated with hypovolemia would cause what clinical manifestations

(Select all that apply) b. Oliguria c. Tachycardia e. Tachypnea

9. The nurse is caring for a patient with a diagnosis of hyponatremia. Which nursing intervention is appropriate to include in the plan of care for this patient

(Select all that apply.) a. Assessing for symptoms of nausea and malaise c. Monitoring neurologic status d. Restricting tap water intake

8. What laboratory findings does the nurse determine are consistent with hypovolemia in a female patient

(Select all that apply.) a. Hematocrit level of >47% c. Urine specific gravity of 1.027 d. Urine osmolality of >450 mOsm/kg

1. The nurse should assess the patient for signs of lethargy, increasing intracranial pressure, and seizures when the serum sodium reaches what level

a. 115 mEq/L

13. What foods can the nurse recommend for the patient with hypokalemia

a. Fruits such as bananas and apricots

10. A patient with abnormal sodium losses is receiving a regular diet. How can the nurse supplement the patient's diet to provide 1,600 mg of sodium daily

a. One beef cube and 8 oz of tomato juice

5. A patient's serum sodium concentration is within the normal range. What should the nurse estimate the serum osmolality to be

b. 275-300 mOsm/kg

14. Which medication does the nurse anticipate administering to antagonize the effects of potassium on the heart for a patient in severe metabolic acidosis

b. Magnesium sulfate

6. What does the nurse recognize as one of the indicators of the patient's renal function

b. Serum creatinine

3. A patient who is semiconscious presents with restlessness and weakness. The nurse assesses a dry, swollen tongue and a body temperature of 99.3 F. The urine specific gravity is 1.020. What is the most likely serum sodium value for this patient

c. 155 mEq/L

12. A patient is admitted with severe vomiting for 24 hours as well as weakness and "feeling exhausted." The nurse observes flat T waves and ST-segment depression on the electrocardiogram. Which potassium level does the nurse observe when the laboratory studies are complete

c. 2.0 mEq/L

2. In a patient with excess fluid volume, hyponatremia is treated by restricting fluids to how many milliliters in 24 hours

c. 800

15. A patient complains of tingling in the fingers as well as feeling depressed. The nurse assesses positive Trousseau's and Chvostek's signs. Which decrease laboratory results does the nurse observe when the patient's laboratory work has returned

c. Calcium

11. The nurse is caring for a patient with hypernatremia. What complication of hypernatremia should the nurse continuously monitor for

c. Cerebral edema

4. With which condition should the nurse expect that a decrease in serum osmolality will occur

c. Kidney failure

17. The nurse is caring for a patient with diabetes type I who is having severe vomiting and diarrhea. What condition that exhibits blood values with a low pH and a low plasma bicarbonate concentration should the nurse assess for

c. Metabolic acidosis

16. Which clinical indication of hypophosphatemia does the nurse assess in a patient

d. Tetany