Prep U ch 13
what is considered an isotonic solution
0.9 ns
the physician has prescribed a hypotonic iv solution for a patient which iv solution should the nurse administer
0.45 ns
what solution is hypotonic
0.45 ns
the nurse is caring for a client in the icu following a near drowning event in saltwater. the client is restless lethargic and demonstrating tremors additional assessment findings include swollen dry tongue flushed skin and peripheral edema the nurse anticipates the clients serum sodium value to be
155
when evaluating abg which value is consistent with metabolic alkalosis
PH 7.48
a patient complains of tingling in the fingers as well as feeling depressed the nurse assesses positive trouseeaus and chvosteks signs which decreased lab results does the nurse observe
calcium
a client presents with anorexia nausea vomitting deep bone pain and constipation the following are the clients lab values na 137 k 4.6 cl 94 ca 12.9
calcium 12.9
a client is taking spironolactone to control hypertension the clients serum potassium level is 6 what is the nurses priority during assessment
ekg results
the nurse is conducting a lecture on the difference between hypovolemia and dehydration when completing a verbal comparison which point needs clarified
in dehydration only extracellular is depleted
clients with hypervolemia should avoid sweet or dry food because it
increases the clients desire to consume fluid
the nurse is analyzing the abg results of a client with severe pneumonia which of the folloiwng abg results indicates respiratory acidosis
ph 7.20 paco2 65 hco3 26
a client is diagnosed with hypocalcemia and the nurse is teaching the client about symptoms what symptom would the nurse include in the teaching
tingling sensation in fingers
a client has a serum calcium of 7.2 during the physical examination the nurse expects to assess
trousseaus sign
which is the most common cause of symptomatic hypomagnesemia
alcoholism
oral intake is controlled by the thirst centre located in which of the following cerebral areas
hypothalamus
which could be a potential cause of respiratory acidosis
hypoventilation
to evaluate a client for hypoxia the physician most likely to order which lab test
abg
the nurse is correct to state that a clients body needs to have adequate nutrition to maintain energy. which type of transport of dissolved substances requires adenosine triphosphate
active transport
the nurse is caring for a client with a serum sodium concentration of 113 the nurse should monitor the client for the development of which condition
confusion
the nurse is caring for a client with serum sodium concentration of 113 meq/l the nurse should monitor the client for the development of which condition
confusion
which of the following is a clinical manifestation of fluid volume excess
crackles in lung fields shortness of breath distended neck veins
the nurse is assessing a client for local complications of intravenous therapy which are local complications
extravasation hematoma phlebitis
to confirm an acid base imbalance it is necessary to assess which findings from a clients abg results
hco3 paco2 ph
the nurse is assessing residents at a summer picnic at the nursing facility. the nurse expresses concern due to high heat and humidity of the day. although the facility is offering the residents plenty of fluids for fluid maintenance the nurse is most concerned about which
insensible fluid loss
A client hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?
lightheadedness or paresthesia
your client has a diagnosis of hypervolemia what would be an important intervention that you would initiate
limit sodium and water intake
A priority nursing intervention for a client with hypervolemia involves which of the following?
monitoring a respiratory status for signs and symptoms of pulmonary complications
a 64 year old client is brought in to the clinic with thirsty dry sticky mucous membranes decreased urine output fever a rough tongue and lethargy serum sodium levels is above 145 should the nurse start salt tablets when caring for this patient
no sodium intake should be restricted
fluid and electrolyte balance is maintained though a process of translocation what specific process allows water to pass through a membrane from a dilute to a more concentrated area
osmosis
the nurse is analyzing the arterial blood gas results of a client diagnosed with severe pneumonia which of the following abg results indicates respiratory acidosis
ph 7.20 paco2 65 hco3 26
A client with pancreatic cancer has the following blood chemistry profile: Glucose, fasting: 204 mg/dl; blood urea nitrogen (BUN): 12 mg/dl; Creatinine: 0.9 mg/dl; Sodium: 136 mEq/L; Potassium: 2.2 mEq/L; Chloride: 99 mEq/L; CO2: 33 mEq/L. Which result should the nurse identify as critical and report immediately?
potassium
which electrolyte is a major cation in body fluid
potassium
A nurse reviews the arterial blood gas (ABG) values of a client admitted with pneumonia: pH, 7.51; PaCO2, 28 mm Hg; PaO2, 70 mm Hg; and HCO3--, 24 mEq/L. What do these values indicate?
respiratory alkalosis
which of the following abg results would be consistent with metabolic alkalosis
serum bicarb of 28
A nurse is conducting an initial assessment on a client with possible tuberculosis. Which assessment finding indicates a risk factor for tuberculosis?
the client has had a liver transplant 2 years ago
a nurse is reviewing a report of a client routine urinalysis which value requires further investigation
urine ph of 3.0
a patient is admitted with severe vomititng for 24 hours as well as weakness and feeling exhausted the nurse observes flat t waves and st segment depression on the ekg which potassium level does the nurse observe when the laboratoy studies are complete
2.5
