Chapter 13 PrepU Quiz

33s A client's potassium level is elevated. The nurse is reviewing the ECG tracing. Identify the area on the tracing where the nurse would expect to see peaks.

T wave ( see picture on notes)

The nurse is caring for four clients on a medical unit. The nurse is most correct to review which client's laboratory reports first for an electrolyte imbalance? a) 7 year old with fractured tibia b) 65 year old with myocardial infarction c) 52 year old with diarrhea d) 72 year old with total knee repair

c) 52 year old with diarrhea

The nurse is assessing residents at a summer picnic at the nursing facility. The nurse expresses concern due to the 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? a) lung function b) summer allergies c) cardiovascular compromise d) insensible fluid loss

d) Insensible Fluid loss

What is one process by which dissolved chemicals move from one area of the body to another? a) passive osmosis b) free flow c) passive elimination d) active transport

d) active transport

The nurse has been assigned to care for various clients. Which client is at the highest risk for a fluid and electrolyte imbalance? a) An 82-year-old client who receives all nutrition via tube feedings and whose medications include carvedilol and torsemide. b) A 45-year-old client who had a laparoscopic appendectomy 24 hours ago and is being advanced to a regular diet. c) A 79-year-old client admitted with a diagnosis of pneumonia. d) A 66-year-old client who had an open cholecystectomy with a T-tube placed that is draining 125 mL of bile per shift.

a) An 82-year-old client who receives all nutrition via tube feedings and whose medications include carvedilol and torsemide

The nurse is caring for a geriatric client in the home setting. Due to geriatric changes decreasing thirst, the nurse is likely to see a decrease in which fluid location which contains the most body water? a) intracellular fluid b) extracellular fluid c) intersticial fluid d) intravascular fluid

a) intracellular fluid

Following a unilateral adrenalectomy, a nurse should assess for hyperkalemia as indicated by: a) muscle weakness b) tremors c) diaphoresis d) constipation

a) muscle weakness

A gerontologic nurse is teaching students about the high incidence and prevalence of dehydration in older adults. What factors contribute to this phenomenon? Select all that apply. a) decreased kidney mass b) increased conservation of sodium c) increased total body water d) decreased renal blood flow e) decreased excretion of potassium

a,d,e decreased kidney mass decreased renal blood flow decreased excretion of potassium

A nurse is caring for a client with metastatic breast cancer who is extremely lethargic and very slow to respond to stimuli. The laboratory report indicates a serum calcium level of 12.0 mg/dl, a serum potassium level of 3.9 mEq/L, a serum chloride level of 101 mEq/L, and a serum sodium level of 140 mEq/L. Based on this information, the nurse determines that the client's symptoms are most likely associated with which electrolyte imbalance? a) hyperkalemia b) hypocalcemia c) hypokalemia d) hypercalcemia

d) hypercalcemia

A client with nausea, vomiting, and abdominal cramps and distention is admitted to the health care facility. Which test result is most significant? a) blood urea nitrogen (BUN) level of 29mg/dl b) serum sodium level of 132 mEq/L c) urine specific gravity of 1.025 d) serum potassium level of 3 mEq/L

d) serum potassium level of 3 mEq/L