CNC1 Coursepoint

At which serum sodium concentration might convulsions or coma occur? A. 130 mEq/L (130 mmol/L) B. 140 mEq/L (140 mmol/L) C. 142 mEq/L (142 mmol/L) D. 145 mEq/L (145 mmol/L)

A. 130 mEq/L (130 mmol/L)

A client was admitted to the unit with a diagnosis of hypovolemia. When it is time to complete discharge teaching, which of the following will the nurse teach the client and family? Select all that apply. A. Drink water as an inexpensive way to meet fluid needs. B. Respond to thirst C. Drink at least eight glasses of fluid each day. D. Drink caffeinated beverages to retain fluid. E. Drink alcoholic beverages to help balance fluid volume.

A. Drink water as an inexpensive way to meet fluid needs B. Respond to thirst C. Drink at least eight glasses of fluid each day

A client with a suspected overdose of an unknown drug is admitted to the emergency department. Arterial blood gas values indicate respiratory acidosis. What should the nurse do first? A. Prepare to assist with ventilation. B. Monitor the client's heart rhythm. C.Prepare for gastric lavage. D. Obtain a urine specimen for drug screening.

A. Prepare to assist with ventilation

A client has chronic hyponatremia, which requires weekly laboratory monitoring to prevent the client lapsing into convulsions or a coma. What is the level of serum sodium at which a client can experience these side effects? A. 148 mEq/L B. 130 mEq/L C. 114 mEq/L D. 135 mEq/L

C. 114 mEq/L

Which is the most common cause of symptomatic hypomagnesemia? A. Sedentary lifestyle B. Burns C. Alcoholism D. Intravenous drug use

C. Alcoholism

Air embolism is a potential complication of IV therapy. The nurse should be alert to which clinical manifestation associated with air embolism? A. Hypertension B. Jaundice C. Chest pain D. Slow pulse

C. Chest pain

The physician has prescribed a hypotonic IV solution for a patient. Which IV solution should the nurse administer? A. 0.9% sodium chloride B. 0.45% sodium chloride C. 5% glucose in normal saline solution D. 5% glucose in water

B. 0.45% sodium chloride

An adult client is brought in to the clinic feeling thirsty with dry, sticky mucous membranes; decreased urine output; fever; a rough tongue; and lethargy. The nurse reconciles the client's medication list and notes that salt tablets had been prescribed. What would the nurse do next? A. Be prepared to administer a sodium chloride IV. B. Consider sodium restriction with discontinuation of salt tablets. C. Continue to monitor client with another appointment. D. Be prepared to administer a lactated Ringer's IV.

B. Consider sodium restriction with discontinuation of salt tablets

A client with severe hypervolemia is prescribed a loop diuretic and the nurse is concerned with the client experiencing significant sodium and potassium losses. What drug was most likely prescribed? A. spironolactone B. furosemide C. metolazone D. hydrochlorothiazide

B. Furosemide

A nurse is reviewing a report of a client's routine urinalysis. Which value requires further investigation? A. Absence of glucose B. Urine pH of 3.0 C. Specific gravity of 1.02 D. Absence of protein

B. Urine pH of 3.0

Which set of arterial blood gas (ABG) results requires further investigation? A. pH 7.35, PaCO2 40 mm Hg, PaO2 91 mm Hg, and HCO3- 22 mEq/L B. pH 7.49, PaCO2 30 mm Hg, PaO2 89 mm Hg, and HCO3- 18 mEq/L C. pH 7.38, partial pressure of arterial carbon dioxide (PaCO2) 36 mm Hg, partial pressure of arterial oxygen (PaO2) 95 mm Hg, bicarbonate (HCO3-) 24 mEq/L D. pH 7.44, PaCO2 43 mm Hg, PaO2 99 mm Hg, and HCO3- 26 mEq/L

B. pH 7.49, PaCO2 30 mm Hg, PaO2 89 mm Hg, and HCO3- 18 mEq/L

Which is considered an isotonic solution? A. 0.45% normal saline B. 3% NaCl C. 0.9% normal saline D. Dextran in normal saline

C. 0.9% normal saline

A client has the following arterial blood gas (ABG) values: pH, 7.12; partial pressure of arterial carbon dioxide (PaCO2), 40 mm Hg; and bicarbonate (HCO3-), 15 mEq/L. These ABG values suggest which disorder? A. Respiratory acidosis B. Metabolic alkalosis C. Metabolic acidosis D. Respiratory alkalosis

C. Metabolic Acidosis

The nurse is caring for a patient with diabetes type I who is having severe vomiting and diarrhea. What condition that exhibits blood values with a low pH and a low plasma bicarbonate concentration should the nurse assess for? A. Respiratory alkalosis B. Respiratory acidosis C. Metabolic acidosis D. Metabolic alkalosis

C. Metabolic acidosis

The nurse is caring for a client diagnosed with bulimia. The client is being treated for a serum potassium concentration of 2.9 mEq/L (2.9 mmol/L). Which statement made by the client indicates the need for further teaching? A. "I will be sure to buy frozen vegetables when I grocery shop." B. "I will take a potassium supplement daily as prescribed." C. "A good breakfast for me will include milk and a couple of bananas." D. "I can use laxatives and enemas but only once a week."

D. I can use laxatives and enemas but only once a week

A client experiencing a severe anxiety attack and hyperventilating presents to the emergency department. The nurse would expect the client's pH value to be A. 7.45 B. 7.30 C. 7.35 D. 7.50

D. 7.50

A client reports tingling in the fingers as well as feeling depressed. The nurse assesses positive Trousseau's and Chvostek's signs. Which decreased laboratory results does the nurse observe when the client's laboratory work has returned? A. Iron B. Phosphorus C. Potassium D. Calcium

D. Calcium

A client has been diagnosed with an intestinal obstruction and has a nasogastric tube set to low continuous suction. Which acid-base disturbance is this client at risk for developing? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis

D. Metabolic alkalosis

A client seeks medical attention for an acute onset of severe thirst, polyuria, muscle weakness, nausea, and bone pain. Which health history information will the nurse report to the health care provider? A. Works as a customer service representative B. Ingests alcohol occasionally C. Follows a high-fiber eating plan D. Takes high doses of vitamin D

D. Takes high doses of vitamin D

A client has been admitted to the hospital unit with signs and symptoms of hypovolemia; however, the client has not lost weight. The client exhibits a localized enlargement of her abdomen. What condition could the client be presenting? A. anasarca B. pitting edema C. hypovolemia D. third-spacing

D. third-spacing