Fluid and electrolytes

A nurse is reviewing the laboratory data of a client following hemodialysis treatment. The nurse expect to find a decrease in which of the following laboratory values?

Potassium

And I said caring for a client who received furosemide made to treat heart failure. Which of the following laboratory value should the nurse manager for this client due to this medication?

Potassium

A nurse is reviewing the laboratory results of a client who takes for us in mind. Which of the following results should the nurse identify as a priority finding?

Potassium 2.9 mEq/L

A nurse is providing dietary teaching to a client who has chronic kidney disease. The nurse should instruct the client to limit which of the following nutrients?

Protein, phosphorus, sodium

A nurse is caring for a client who has a serum potassium level of five. 5 MEQ/L. The provider prescribes polystyrene. This medication is effective, the nurse expect which of the following changes on the clients ECG

Reduction of T wave amplitude

A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?

Respiratory depression

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is a priority nursing assessment for this client

Respiratory rate

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2G/hour. Which of the following findings indicate that it is safe for the nurse to continue the infusion?

Respiratory rate of 16/min

A nurse is reviewing clients lab results. Which of the following lab guys should be reported to the provider?

Sodium 126

A nurse is caring for a client who has syndrome of inappropriate and touch her at diuretic hormone and a sodium level of 123MEQ/L. Which of the following prescription to the nurse anticipate?

Restrict fluid intake to 1000 ML per day

The nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

Serum creatinine 6mg/dl

A nurse is assessing a client who is taking Clore thiazide sodium. The nurse recognizes which of the following is a manifestation of hypokalemia

Shallow respirations

A nurse is caring for a child who has acute gastroenteritis But is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

Oral rehydration solution

A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to this NPO status which of the following solutions to the nurse repaired and fuse for the client

0.45% sodium chloride

Anders is calculating the clients and take an output for an eight HR shift. The clients and take include 1000 ML 0.9% sodium chloride IV. One 6 0Z Cup of coffee, 6 oz Of water one 180 ML bold soup 3 ounce of flavor gelatin and 3 ounce of ice cream. How many ML should the nurse document as the clients total and take the shift

1720

Antibiotics X over 20 minutes

50

A nurse is preparing to administer ticarcillin/clavulanate 3.1 g but intermittent IV bolus over 30 min. Available is ticarcillin/calavulamate 3.1 g in 50 mL 0.9% sodium chloride (NSS). The nurse should set the IV pump to the liber how many mL/hr?

100

Dextrose 5% and 0.45% sodium chloride

100

Fluconazole

100

Nurse is preparing to administer clindamycin 300 MG by intermittent IV bolus over 30 min to a client who has staphylococcus infection. Available is clindamycin premixed and 50 ML 0.9% sodium chloride. The nurse said the IV pump to the liver how many ML/HR?

100

The nurse is documenting the intake for a client who is scheduled for an abdominal computed axle tomography scan. Prior to the scan the client consumes 12 Oz sodium diatrizoate l. The client has an IV of D 5 1/2 NS running At 75ML/HR from 0700 until 1200. The IV runs at 30 ML/HR from 1200 to 1500. At 1500 The client has 60Z a juice. How many ML's to the nurse document as a client intake for the shift

1005ml

Clear soda piece of toast water cup of fruit flavored gelatin in a cup of chicken broth with IV sodium chloride

1140

The nurse is caring for a client who has a prescription for 3000 ML of dextrose 5% and 0.45% sodium chloride 10 fuse IV over 20 for HR. The nurse initiates an IV infusion of 1000 ML of this fluid at 0800. What time should the nurse prepare to initiate the second 1000 ml bag

1600

A nurse is preparing to administer hydrocortisone sodium succinate 250 MG via IV bolus every 6HR. Available is hydrocortisone sodium succinate 1000 MG/8 ML. How many ML should the nurse administer?

2

A nurse is preparing a minister ceftriaxone 1G via intermittent IV bolus over 30 min. Available is 1G ceftriaxone sodium and 100 ML dextrose 5% water. The nurse should's at the pump deliver how many ML/HR?

200

A nurse is preparing to administer 0.9% sodium chloride 3000 ml IV to infuse over 24 hours. The drop factor of the normal manual IV tubing is 10 GTT/ML the nurse should set the manual IV infusion to deliver how many drops per minute

21

A nurse is calculating the intake of a client during the past nine HR. The client intake includes lactated ringers IV at 1:50 ML/HR. Several of those into GIV intermittent bolus and 100 ML of 0.9% sodium chloride, two units of packed RBCs of 275 ML into 50 ML to IV bolus infusions of 250 ML of 0.9% sodium chloride ranitidine 50 MGIV intermittent bolus and 50 ML of dexterous 5% and water. How many ML of intake should the nurse record?

2525

A nurse is admitting a six month old infant who has dehydration which of the following amounts of urinary output should indicate and the nurse at the treatment has corrected the fluid in balance

2mL/kg/hr

A nurse is admitting a client who is dehydrated. Which of the following BUN levels should the nurse expect the client to have upon admission?

35mg/dl

A nurse is preparing to administer furosemide 40mg IV available is furosemide 10 MG/1 ML. How many ML should the nurse administer per dose?

4

A nurse is preparing to administer an IV fluid bolus of 500 ML zero. 9% sodium chloride over 60 men. The drop factor of the manual IV tubing is 10 gTT/ML. The nurses at the main IV infusions of the liver how many GTT/min

83

A nurse is teaching a client who has chronic kidney failure about planning a low protein diet. The client states why do I have to be concerned about protein which of the following responses should the nurse make

A low protein diet reduces the risk of uremia

A nurse is teaching a client about snacks that are appropriate on a low fat low sodium and low cholesterol diet. Which of the following food choices by the client indicates a need for further

A slice of cheese

A nurse is caring for a male client who reports nausea and vomiting and it's receiving IV fluid therapy his blood urea nitrogen is 32 creatinine 1.1 and hematocrit 50% which of the following nursing intervention is appropriate

Abnormally prominent U wave

A nurse is teaching a client who has acute kidney injury about dietary sources of potassium. Which of the following statements by the client indicates a need for clarification

Adding pecans will be a change I can readily make

A nurse is reviewing a clients laboratory values and discovers the client has a serum potassium of 6.2 MEQ/L. Which of the following intervention should the nurse anticipate

Administering sodium polystyrene sulfonate

A nurse is discussing kidney transplant with a client who has an stage renal disease which of the following should the nurse identify as a contraindication for this treatment

Alcohol use disorder

A nurse is caring for a client who has acute kidney injury which of the following arterial blood glass values with the nurse expect this client have

Ph 7.26, HCO3 14, PACO2 30

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods is the best source of potassium

Bananas

A nurse is assessing an older client who is receiving IV therapy the nurse should recognize that which of the following findings indicate fluid volume excess

Bounding pulse, pitting edema, crackles upon auscultation

A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis which of the following information should the nurse include in the teaching

COPD requires the client to follow fewer dietary and fluid restrictions than hemodialysis

A client who is receiving magnesium sulfate has your an output of 20 ML/HR which of the following medication should the nurse expect to administer

Calcium gluconate

A nurse in a providers office is reading the laboratory results of a client who takes for us in mind for hypertension. The nurse notes that the clients potassium levels 3.3 mEQ/L. The nurse should monitor the client for which of the following complications

Cardiac dysrhythmia

A nurse is planning care for a client who has dehydration is receiving continuous IV Infusion of 0.9% sodium chloride. Which of the following intervention should the nurse include in the plan of care

Check the clients IV infusion every eight hours

Nurses providing teaching to a client who has renal failure in an elevated phosphorus level. The Provider instructed client to take aluminum hydroxide 300 MG PO 3 times daily. Which of the following adverse effect the nurse informed the client

Constipation

Nurse is caring for a client has a new prescription for a low sodium diet. The clients family has requested to bring in some of the clients favorite foods. Which of the following food item should the nurse tell the family members to omit?

Pickled vegetables

Nurse is assessing a client who has chronic kidney disease fluid volume increase which of the following provides a reliable measure of fluid retention

Daily weight

A nurse is reviewing the laboratory results of a client who has a liver failure with Ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

Decreased sodium level

Anderson the emergent Apartment is carrying for a client who collapse after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?

Dehydration

I nurse is teaching a client who has urolithiasis The nurse explained that which of the following conditions can increase the risk for renal calculi

Dehydration

A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache nausea and restlessness. The nurse should identify these findings manifestations of which of the following complications

Dialysis disequilibrium

Nurse is providing teaching to incline his hypertension and the new prescription for Capopril. Which of the following instruction to the nurse provide

Do not use salt substitutes while taking this medication

A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an Indication that the client might be experiencing circulatory overload

Dyspnea

A nurse is providing discharge teaching for a client who has pulmonary edema and it's about to start taking for us in mind. Which of the following instructions to the nurse include?

Eat foods that contain plenty of potassium

A nurse is monitoring client who is acute kidney injury which of the following laboratory findings should the nurse experience

Elevated BUN

A nurse is caring for a client who has heart failure in a new prescription for furosemide. Which of the following laboratory values should the nursery be before administrating furosemide

Potassium

Home health nurse is making a home visit her client who takes a daily direct for heart failure which of the following manifestations to the nurse identifies indicating the client is hypokalemic

Fatigue

Nurse is caring for a client who certain potassium level is 5.3. Which of the following schedule medication to the nurse plan administer

Furosemide

The nurse is preparing to administer potassium chloride to a client who is receiving diuretic therapy the nursery is the client certain potassium level results and discovers the clients potassium level is 3.2 MAQ/L which of the following action should the nurse take

Give the ordered KCl as prescribed

A nurse is reviewing the laboratory results for a client who has prerenal acute kidney injury which of the following electrolyte in balance should the nurse

Hyperkalemia

Nurses is assessing in client in the oliguric Phase of acute kidney injury. Which of the following findings should the nurse expect?

Hyperkalemia

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

Hyperuricemia

A nurse is caring for a client who has an stage kidney disease and reports having shortness of breath and swelling in his lower extremities upon assessment the nurse notes that the client has crackles in his lungs and his elevated blood pressure. The nurse should I suspect which of the following based on the clients manifestations

Hypervolemia

Nurse caring for a client who has heart failure in a new prescription for furosemide For which of the following adverse effects of the nurse monitor

Hypokalemia

The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

I need to limit my sun exposure and wear sunscreen while in this medication

A nurse is teaching a client who has acute Can disease about food restrictions which of the following statements by the client the nurse identifies understanding of teaching

I'll make a list of my favorite beverages

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?

Increased heart rate, increase blood pressure, increase respiratory rate

The nurse is teaching a client has chronic kidney disease in a new prescription forepierin Alfa. The nurse instruct the client to increase dietary intake over to the following substances

Iron

And there's an emergency department is assessing an infant who is dehydrated. Which of the following findings should the nurse

Irritability

A nurse is providing teaching to a client who takes opioid pain medication has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching

It might take up to three days for the medication to work

I nurse is assessing a client who has heart failure and is prescribed furosemide. Which of the following findings is an adverse effect of this medication?

Leg cramps

A nurse caring for a client who is receiving magnesium sulfate to treat severe preeclampsia and ask the nurse in the medication working which of the following responses and the nurse make

Medications working because there's no seizure activity

A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should the nurse include in the teaching?

Monitor for cough

The nurse is assessing a client who has sodium level of 116 mEq/L. Which of the following findings should the nurse expect?

Nausea and Vomiting

Nurse is caring for a client who is receiving treatment for potassium level of 3.1 MEQ/L which of the following should the nurse recognize as a therapeutic response to therapy

Normal voiding patterns

Nurse is caring for a client who has hypertension and has potassium level 6.8 MEQ/L which of the following action should the nurse take

Obtain a 12 lead ECG

A nurse is planning care for a client who is scheduled to have kidney biopsy. Which of the following information should the nurse include in the plan?

Obtain a urine specimen prior to the procedure, obtain written informed consent, maintain NPO status prior to the procedure, obtain coagulation studies

Nurse is providing instruction to a new nurse about caring for a client who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medication's pets clients at risk for both hyperkalemia and hypernatremia

Spironolactone

A nurse is assessing a client who has an stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload

The client has 5 LB weight gain since yesterday

A nurse is caring for four clients who have drainage tubes. Which of the following client should the nurse recognize as being a risk for hypokalemia

The client who has a nasogastric tube dissection

A nurse finds that a client did not receive a schedule dose of Furosemide (lasix). Which of the following should the nurse include in the incident/variance report?

The data the incident, the time the client was to receive the medication, the client's signs

A nurse is caring for a client who has chronic renal disease in is receiving therapy of protein Alfa . Which of the following laboratory results and the nurse review for an indication of a therapeutic effect of the medication

The hematocrit

Chronic kidney disease

Tomatoes, bananas, raisins

A nurse is caring for a client who has a new arteriovenous (AV) Grafton is left forearm. Which of the following technique should the nurse used to assess the patency of this graft?

Top hit the site for a bruit.

A nurse is assessing a client who is receiving magnesium sulfate to treat preeclampsia which of the following findings should the nurse report to the provider

Urinary output 40 ML in two hours

A nurse is teaching a client has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching

Urine output is less than 400 ML per 24 HR

A nurse is reviewing the medication record for a client who has chronic kidney disease which of the following medication to the nurse identifies having the potential to cause nephrotoxicity

Vancomycin

A nurse is developing a plan of care for a client who is To begin receiving peritoneal dialysis. Which of the following intervention should the nurse implement ensure proper dialysate exchange

Warm the Dialysate solution prior to installation

Nurse is assessing a client who has hypokalemia as a result nausea vomiting and diarrhea which of the following findings should the nurse expect

Weak irregular pulse

Nurses carrying for a client his sustain butt loss. Which of the following is a manifestations of hyperbolamia?

Weak pulse

Nurse appearing to the obtain daily wave for a kind of his chronic kidney disease or to the following action to the nurse implement

Weigh the client after he is voided

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider

Your an output of 175 ML in the past 8 HR

A nurse is reviewing the arterial blood class values of a client who has chronic kidney disease which of the following sets of values should the nurse expect

ph7.25, HCO3 19, PACO2 30

Nurse caring for a client has end-stage renal disease which of the following are expected findings

slurred speech, bone pain, pruitus