Chapter 40: Fluid, Electrolyte, and Acid-Base Balance - Prep U

A physician has asked the nurse to use microdrip tubing to administer a prescribed dosage of IV solution to a client. What is the standard drop factor of microdrip tubing? 30 drops/mL 60 drops/mL 90 drops/mL 120 drops/mL

60 drops/mL

The nurse is caring for a client whose blood type is A negative. Which donor blood type does the nurse confirm as compatible for this client? B positive O negative A positive AB negative

O negative

An older adult has fluid volume deficit and needs to consume more fluids. Which approach by the nurse demonstrates gerontologic considerations? Ask the client every hour to drink more fluid. Offer small amounts of preferred beverage frequently. Have a loved one tell the client to drink more. Leave water on the bedside table.

Offer small amounts of preferred beverage frequently

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? As fast as the client can tolerate 1 unit over 2 to 3 hours, no longer than 4 hours 75 mL/hr for the first 15 minutes, then 200 mL/hr 200 mL/hr

1 unit over 2-3 hours, no longer than 4 hours

A nurse monitoring a client's IV infusion auscultates the client's lung sounds and detects crackles in the bases in lungs that were previously clear. What would be the most appropriate intervention in this situation? Notify the primary care provider immediately because these are signs of speed shock. Notify the primary care provider immediately for possible fluid overload. Check all clamps on the tubing and check tubing for any kinking. Place the client in the Trendelenburg position to keep the client's airway open.

Notify the primary care provider immediately for possible fluid overload.

A client with a diagnosis of colon cancer has opted for a treatment plan that will include several rounds of chemotherapy. What vascular access device is most likely to meet this client's needs? An implanted central venous access device (CVAD) A peripheral venous catheter inserted to the antecubital fossa A peripheral venous catheter inserted to the cephalic vein A midline peripheral catheter

an implanted central venous access device (CVAD)

The nurse is providing care for a client with a peripheral intravenous catheter in situ. What intervention should the nurse implement in the care of this IV? Change the site every three to four days. Clean the insertion site daily using sterile technique. Insert the largest gauge possible to maximize flow and minimize the risk of occlusion. Flush the catheter every six hours with hypertonic solution if the IV is not in constant use.

change the site every three to four days

Which is a common anion? magnesium potassium chloride calcium

chloride

The primary extracellular electrolytes are: potassium, phosphate, and sulfate. magnesium, sulfate, and carbon. sodium, chloride, and bicarbonate. phosphorous, calcium, and phosphate.

sodium, chloride, & bicarbonate