Unit 2
A nurse is reinforcing nutrition teaching with a client who has osteoporosis. Which of the following food selections should the nurse recommend to increase calcium in the clients diet?
1 cup of kale
A nurse is collecting data from a client who has calcium level of 8 mg/dL. Which if the following manifestations should the nurse expect?
Tetany
A nurse is collecting data from a client who has hypocalcemia. Which of the following findings should the nurse expect?
Tingling of the lips
A nurse is caring for a client who is receiving treatment for a potassium level of 3.1 mEq/L. The nurse should identify a decrease in which of the following factors as a therapeutic response to therapy?
Urinary output
A nurse is caring for a client who has acute dehydration is receiving IV fluids. Which of the following laboratory values indicates to the nurse that the current treatment regimen is effective?
Urine specific gravity 1.020
A nurse is collecting data from a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?
Weak, irregular pulse
A nurse is planning to reinforce teaching with a client about the need to follow a low potassium diet. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply)
Yogurt, orange juice
A nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client's potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to clients hypokalemia?
Cardiac dysthymias
A nurse is reviewing the arterial blood gas (ABG) results of a client. The clients ABGS are: pH: 7.6 PaCO2: 40 mmHg HCO3: 32 mEq/L Which of the following acid base conditions should the nurse identify the client is experiencing?
Metabolic alkalosis
A nurse is caring for four clients who have drainage tubes. The nurse should identify the client who has which of the following tubes are being at risk for hypokalemia?
An NG tube to suction
A nurse is assisting with monitoring a client who has a preeclampsia and is receiving magnesium sulfate. The clients respiratory rate is 8/min. Which of the following should the nurse administer?
Calcium gluconate
A nurse is reviewing a clients admission laboratory findings that indicate the client has hyponatriemia. Which of the following laboratory findings should the nurse also expect to be below the expected reference range?
Chloride
A nurse is reinforcing teaching with a client about nutrition. The client has hypertension and taking a potassium wasting diuretic. Which of the following dietary instructions should the nurse include in the teachings?
Consume oranges and bananas
A nurse is collecting data from a client who has a calcium level of 12 mg/dL. Which of the following manifestations should the nurse expect?
Decreased deep tendon reflexes
A nurse is collecting data from a client who has heart failure and takes chlorothiazide sodium. Which of the following findings should the nurse identify as indicating hypokalemia?
Decreased deep tendon reflexes
A nurse is collecting data from a client who has a sodium level of 155 mEq/L. Which of the following manifestations should the nurse expect?
Decreased level of consciousness
A nurse is reviewing the medication record of a client who has heart failure and has a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as a possible cause if the clients potassium level?
Furosemide
A nurse is collecting data from a client who has sodium level of 128 mEq/L. Which of the following manifestations should the nurse expect?
Headache
A nurse is assisting with the care of a client who is hypovolemic due to blood loss following a motor-vehicle crash and needs a blood transfusion immediately. The nurse should anticipate a prescription for which of the following IV solutions while awaiting blood from a type and cross match?
Lactated ringers
A nurse is caring for a client who has acute kidney injury. The clients ABGS are: pH: 7.26 PaCO3: 30 mmHG HCO3: 14mEq/L Which of the following acid imbalances should the nurse identify the client is experiencing?
Metabolic acidosis
A nurse is caring for a client whose arterial blood gases include a pH of 7.30, an HCO3- of 18 mEq/L and a PaCO2 of 28 mmHG. The nurse should suspect that the client has developed which of the following acid base imbalances?
Metabolic acidosis
A nurse is reviewing the laboratory values for a client who takes spironlactone and notes that the clients serum potassium level is 6.8 mEq/L. The nurse notifies the provider and anticipates that the provider will provide which of the following instructions?
Obtain a 12 lead ECG
A nurse is caring for a client whose arterial blood has results show the following results: pH: 7.2 PaCO2: 50mmHg HCO3: 24mEq/L The nurse should identify the client is experiencing which of the following acid base conditions?
Respiratory acidosis
A nurse is collecting data from a client whose arterial blood gas values reveal a PH of 7.24, PaCO2 of 53, and an HCO3- of 24. The nurse should prepare to treat the client for which if the following acid base imbalances
Respiratory acidosis
A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22 PaCO2: 68 mmHG Base excess -2 PaO2 78 mmHG Oxygen saturation 80% Bicarbonate 28 mEq/L Which of the following interpretations of the ABG values should the nurse make?
Respiratory acidosis
A nurse is assisting with the care of a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2g/hr. Which if the following findings indicate that it is safe for the nurse to continue the infusion?
Respiratory rate of 16/min
A nurse is caring for a client who is receiving furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client?
Serum potassium
A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. The nurse should anticipate a prescription for which of the following medications?
Sodium polystyrene
A nurse is reviewing the medical record of a client and identifies a serum potassium 6.8 mEq/L. Which of the following medications should the nurse expect to administer?
Sodium polystyrene
A nurse is phoning a provider to report a clients serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe?
Sodium polystyrene sulfonate
