Practice assessment blood and fluid disorders test ATI

a nurse is caring for 4 clients who have drainage tubes, which clients should the nurse recognize as being at risk for hypokalemia

the client who has a NG tube to suction suctioning can take out too many nutrients such as potassium, which can cause low levels

a nurse is providing teaching for a client with anemia and a new prescription for iron. which instruction should the nurse provide

take the medication with orange juice to enhance absorption

which of the following shows a need for further teaching after a child has a minor bleeding episode from hemophilia

i will apply heat to the site

a nurse is assessing a client who has fluid volume deficit, the nurse should expect which of the following findings ?

increased BUN

client has fluid overload, what should nurse expect ?

increased heart rate increased BP Increased res rate

if a clients respirations are shallow and 9/min, which acid base imbalance should the nurse identify the client as being at risk for developing initially

respiratory acidosis

pH 7.3 PaCO2 50mmhg

respiratory acidosis

pH is 7.32 PaCO2 is 48 mmHg HCO3 is 23 mEq/L the nurse should recognize that these findings indicate which acid base imbalance

respiratory acidosis

a nurse is caring for a client who has hypernatremia and requires IV fluid. which solution should the nurse infuse

0.45 sodium chloride

a client is being treated with DIC, which statement should the nurse make?

DIC is caused by abnormal coagulation involving fibrinogen

a nurse is reviewing a lab result of a client who has respiratory acidosis. which of the following findings should the nurse expect ?

PaCO2 50 mmHg

a nurse is caring for a client who the provider suspects has pernicious anemia, the nurse should expect the provider to prescribe which of the following diagnostic tests?

schillings test

Platelet count is 9000

spontaneous bleeding

a nurse is reviewing the medical records for 4 clients who have an acid base imbalance. the nurse should recognize that which of the following clients is at risk for metabolic acidosis

a client who has diarrhea

a nurse is caring for a young female client who reports weakness, fatigue, and heavy periods. the client has a hemoglobin level of 8 g/dL, and a hematocrit level of 28 g/dL. which type o anemia does the nurse expect?

iron deficiency

a client has aplastic anemia, which information should the nurse include in the teaching?

aplastic anemia results from decreased bone marrow production in the RBCs

which intervention should the nurse include in the plan for a client that has thrombocytopenia

apply pressure to needlestick sites for 10 min

a nurse is providing teaching to a client who has neutropenia, which of the following information should the nurse include in the teaching?

avoid crowds- suppressed immune system

a client diagnosed with idiopathic thrombocytopenic purpura should be concerned in regards to what?

bleeding

a nurse is admitting a child with a critically low platelet count and leukemia, which precautions should the child be put on?

bleeding

a nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. which of the following should the nurse plan to include in the teaching

bottled water is an appropriate choice to increase fluid intake

A nurse is reviewing lab results of a client who was admitted with a history of multiple myeloma, the nurse should expect to find an increase in which of the following lab measurements

calcium- will increase in patients with this disease

which of the following sources of iron is easiest for the body to absorb?

chicken

a client on kidney dialysis and receiving hemodialysis. which finding should the nurse identify as an indication the client is experiencing fluid overload

client has a 5 lb weight gain since yesterday

a nurse is caring for a client who has end stage kidney disease and reports shortness of breath and swelling in the lower extremities. upon assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. the nurse should expect which of the following based off of manifestations?

hypervolemia - excess fluid volume

a nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. for which of the following electrolyte imbalances should the nurse monitor

hypokalemia

which of the following provides a reliable measure of fluid retention

daily weight

a nurse is reviewing the lab results of a client who has acute leukemia and receiving an aggressive chemotherapy treatment 10 days ago. which of the following hematologic lab values should the nurse expect

decreased platelet count decreased leukocyte count decreased erythrocyte count

a client has an NG tube that has drained 2500 mL in the past 6 hrs. which of the following electrolyte imbalances should the nurse monitor for the client ?

decreased potassium level

a nurse is teaching a client who has a family history of hemophilia A about manifestations of the disorder. the nurse should include which of the following manifestations in the teaching?

disabling joint pain

a nurse is planning care for a client who has idiopathic thrombocytopenic purpura. which of the following manifestations is most appropriate for the nurse to monitor

ecchymosis this is bruising

Disseminated Intravascular Coagulation (DIC), which finding should the nurse expect

excessive thrombosis and bleeding

a nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery, which finding should the nurse expect?

fatigue

which finding should the nurse identify as being consistent with leukocytosis

fever

a client with breast cancer being treated with chemo and radiation, and has neutropenia. the nurse should include which restriction

fresh flowers and potted plants

a nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. which instruction should the nurse give to the parent

have your child sit with her head tilted forward and hold pressure to reduce the risk of aspiration

a nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. the nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement

heart rate increases to maintain adequate blood pressure

which of the following fluids should the nurse administer in the first 24 hrs following a burn injury

lactated ringers

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 to find during initial assessment?

lethargy

a nurse is planning care for a client who has leukemia and a platelet count of 130,000 mm3. which of the following interventions should the nurse include in the plan of care?

limit IM injections

a patient with thrombocytopenia should follow which instructions

lubricate lips with a water soluble ointment brush teeth with a soft bristle toothbrush blow nose gently

HCO3 18 mEq, PaCO2 28 mm Hg and pH 7.30, which acid base imbalance is the patient experiencing

metabolic acidosis

client has hypertension and a potassium level of 6.8. which action should the nurse take ?

obtain a 12 lead ECG

a nurse is discharging a child who has sickle cell anemia after an acute crisis episode. which of the following instructions should the nurse include in the teaching?

offer fluids to your child multiple times a day

nurse is caring for a child who has acute gastroenteritis but is unable to tolerate oral fluids. the nurse should anticipate providing which of the following types of fluid

oral rehydration solution

a nurse is reviewing the arterial blood gas results of a client who the provider suspects has metabolic acidosis. which lab result would the nurse expect to see ?

pH below 7.35

a nurse is assessing a child in sickle cell crisis, which manifestation would the nurse expect to find?

pain

a nurse is reviewing lab findings for a patient with thrombocytopenic purpura, which of the following findings should the nurse expect to be decreased?

platelet count

a nurse is caring for a client who has total thyroidectomy and a serum calcium level of 7.6 mg/dL. which of the following findings should the nurse expect ?

tingling of the extremities

a nurse is providing teaching about dietary recommendations to a client who has iron deficiency anemia. which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron

tomato juice

a nurse is teaching clients who has kidney disease about limiting foods that are high in potassium. which of the following foods should the nurse instruct the client to avoid ?

tomatoes bananas raisins

a nurse is caring for a client who is receiving IV fluids to correct rehydration. which of the following lab values should indicate to the nurse that the client is effectively responding to treatment

urine specific gravity 1.020

a nurse is reviewing a lab result of a client who has fluid volume deficit. which finding is expected?

urine specific gravity or 1.035

pernicious anemia

vitamin b 12 injections

a nurse is caring for a client who sustained blood loss, which is a manifestation of hypovolemia?

weak pulse

a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. which of the following should the nurse expect?

weak, irregular pulse

why should you take iron medications between meals?

will help absorb medications efficiently