SATA electrolytes

The nurse is educating a parent who has called the clinic reporting the child is experiencing diarrhea. What suggestions should the nurse provide to the parent? Select all that apply. Give the child bananas, rice cereal, applesauce, and toast Give plenty of fruit juice Provide a diet high in complex carbohydrates, meats, fruits, and vegetables Replace fluids that have sodium chloride, potassium, and glucose Assume an age appropriate diet when possible

Provide a diet high in complex carbohydrates, meats, fruits, and vegetables Replace fluids that have sodium chloride, potassium, and glucose Assume an age appropriate diet when possible

A nurse is caring for an older adult client who has been prescribed a condom catheter. What potential problems related to the use of a condom catheter should the nurse monitor in the client? Select all that apply. Restricted blood flow to the glans tissue Excoriation of the skin in the glans area Frequent urinary tract infection Inability to control urinary elimination Kinks in tubing that encourage backflow of urine

Restricted blood flow to the glans tissue Excoriation of the skin in the glans area Kinks in tubing that encourage backflow of urine

The nurse is educating a client about the function of sodium in the body. What education points would the nurse make? Select all that apply. Sodium does not influence ICF volume. Sodium is the primary regulator of ECF volume The daily value of sodium cited on nutrition facts labels is 1,200 mg. Sodium is normally maintained in the body within a relatively narrow range, and deviations quickly result in serious health problems. The normal extracellular concentration of sodium is 85 to 95 mEq/L (85 to 95 mmol/L). Sodium participates in the generation and transmission of nerve impulses.

Sodium is the primary regulator of ECF volume Sodium is normally maintained in the body within a relatively narrow range, and deviations quickly result in serious health problems. Sodium participates in the generation and transmission of nerve impulses.

The nurse is performing a health history for a client who presents to the clinic with abdominal discomfort. Which statements made by the client indicate that the client is at risk for the development of constipation? Select all that apply "Sometimes I don't have the opportunity to defecate when I need to while I am at work." "I drink about 16 ounces of fluids a day." "I don't like to exercise because I am tired all of the time." "I eat foods high in fiber every day." "I do not regularly take laxatives."

"Sometimes I don't have the opportunity to defecate when I need to while I am at work." "I drink about 16 ounces of fluids a day." "I don't like to exercise because I am tired all of the time."

The nurse is providing care to a client who has a serum potassium level of 5.2 mEq/L (5.2 mmol/L). Which findings would the nurse expect to assess? Select all that apply. Diarrhea Cardiac dysrhythmia Muscle weakness Polyuria Polydipsia

Diarrhea Cardiac dysrhythmia

The nurse is providing education for a client with frequent constipation about the use of bisacodyl to improve defecation. What statements made by the client indicate that the teaching is effective? Select all that apply. "Bisacodyl will cause irritation of the intestinal mucosa and increase water in the stool." "This will help add bulk to my stools to ease defecation." "It will improve defecation by increasing motility." "I should increase my fluid intake to help with my bowel movements. "This will help soften the stool but won't stimulate motility."

"Bisacodyl will cause irritation of the intestinal mucosa and increase water in the stool." "It will improve defecation by increasing motility." "I should increase my fluid intake to help with my bowel movements.

During data collection of a client with bowel elimination concerns, which appropriate questions would the nurse ask? Select all that apply. "How often do you go out to eat?" "Do you use anything to help move your bowels?" "How often do you move your bowels?" "Where do you do your grocery shopping?" "Do you prefer hot foods or cold foods?"

"Do you use anything to help move your bowels?" "How often do you move your bowels?"

The nurse is providing instructions to a client with kidney stones on measures to help prevent urinary tract infections (UTIs). Which statement made by the client would indicate to the nurse that further teaching is necessary? Select all that apply. "I will drink 10 ounces of cranberry juice every day." "I will bathe in the bathtub rather than take a shower." "I will drink about ten 8-oz glasses of water a day." "I will notify my health care provider if my urine starts smelling again." "I will start wearing underwear with a cotton crotch."

"I will drink 10 ounces of cranberry juice every day." "I will bathe in the bathtub rather than take a shower."

The nursing instructor is having a discussion related to the gastrointestinal (GI) system. Which statements by the students would indicate that the discussion was effective? Select all that apply. "The muscles of the colon are innervated by the endocrine system." "Vitamins D and E are produced by the bacteria action in the large intestines." "Movement of the colon is stimulated by the parasympathetic nervous system." "The last part of the large intestine is the rectum, not the anus." "The stool becomes hard if it remains in the large intestine too long."

"Movement of the colon is stimulated by the parasympathetic nervous system." "The last part of the large intestine is the rectum, not the anus." "The stool becomes hard if it remains in the large intestine too long."

Which IV solutions would the nurse expect to be Which IV solutions would the nurse expect to be ordered for a client who has hypovolemia? Select all that apply. 10% dextrose in water (D10W) 0.45% NaCl (½-strength normal saline) 0.9% NaCl (normal saline) Lactated Ringer's solution 5% dextrose in 0.9% NaCl 5% dextrose in water (D5W)

0.9% NaCl (normal saline) Lactated Ringer's solution 5% dextrose in 0.9% NaCl

The nurse is caring for a client with severe edema. Which intervention will the nurse choose to restore fluid balance? (Select all that apply.) Increase oral intake to flush excess fluids. Ask provider to order a low-salt diet. Administer furosemide as ordered. Reduce infusing fluid volume as ordered. Treat the underlying condition that contributes to increased fluid volume.

Ask provider to order a low-salt diet. Administer furosemide as ordered. Reduce infusing fluid volume as ordered. Treat the underlying condition that contributes to increased fluid volume.

A nurse is providing home care for a client with fecal incontinence. Which suggestions should the nurse give the client and family when managing fecal incontinence? Select all that apply. Have the client use moisture-proof undergarments. Encourage the client to limit fiber intake. Ask the client to monitor the pattern of incontinence. eat nutritious foods regularly Have the client pull the abdomen inward and exhale.

Have the client use moisture-proof undergarments. Ask the client to monitor the pattern of incontinence. eat nutritious foods regularly

Which nursing interventions would be appropriate for a client diagnosed with deficient fluid volume? Select all that apply. Hypervolemia management Fluid restriction Intravenous therapy Electrolyte management Monitoring edema Nutrition management

Intravenous therapy Electrolyte management Nutrition management

When caring for a client with difficulty defecating, which appropriate nursing interventions would the nurse implement? Select all that apply. Elevate the bed to 15 degrees when using the bedpan. Use moist heat when cleaning the perineal area. Encourage daily consumption of 2,000 to 3,000 mL of water. Encourage decreasing the amount of fiber in diet. Encourage the client to exercise once a week.

Use moist heat when cleaning the perineal area. Encourage daily consumption of 2,000 to 3,000 mL of water.

A client has been admitted with fluid volume excess related to left sided heart failure. Which assessment data would the nurse document related to the fluid volume excess? (Select all that apply.) blood pressure 100/48 mm Hg crackles in the lungs distended neck veins poor skin turgor excessive urination

crackles in the lungs distended neck veins

The nurse is monitoring intake and output (I&O;) for a client who recently had surgery. Which client actions will the nurse document on the I&O;record? (Select all that apply.) drinking milk urination eating a sandwich vomiting infusion of intravenous solution

drinking milk urination vomiting infusion of intravenous solution

A nurse is preparing an education plan for a client with heart failure who is experiencing edema. As part of the plan, the nurse wants to describe the underlying mechanism for why the edema develops. Which mechanism would the nurse most likely address? increased hydrostatic pressure decreased colloid oncotic pressure blockage of the lymph nodes increased capillary permeability

increased hydrostatic pressure