NRS326- Fluid + Electrolyte Socrative

A nurse is teaching a client about the importance of increasing fluids when experiencing the early stages of dehydration. Which statement by the client would express understanding? A) "I should drink more water when I feel thirsty or becoming irritable" B) "Vitamin hydration drinks would be good when I feel my heart pounding and become lightheaded." C) "Dehydration is only a problem in the summer months when it's hot outside." D) "If my skin becomes dry and itchy I can apply extra lotion."

A) "I should drink more water when I feel thirsty or becoming irritable"

The nurse is reviewing a patients complete blood count (CBC) following the administration of 2 units packed red blood cells. The nurse anticipates which values will have changed as a a result of that administration. Select all that apply A) Hgb B) WBC Count C) Hct D) RBC Count E) Platelets

A) Hgb C) Hct D) RBC Count

Which of the following nursing actions are appropriate for a patient experiencing a post-partum hemorrhage (Select all that apply) A) Lay the patient down B) Sit the patient up C) Massage the fundus D) Administer 0.45% NS E) Administer Packed Red Blood Cells

A) Lay the patient down C) Massage the fundus E) Administer Packed Red Blood Cells

Which of the following statements regarding dietary teaching is accurate (Select all that apply) A) Salt substitutes are safe for any diet B) Cutting table salt from the diet is sufficient for sodium restriction C) Grains are source of magnesium D) Fluid restrictions only count free water E) Bananas are a source of potassium

C) Grains are source of magnesium E) Bananas are a source of potassium

The nurse is reviewing laboratory values for a patient suspected of having a fluid imbalance. Which laboratory value should indicate a diagnosis of dehydration to the nurse? A) Hemoglobin 13.5 g/dL B) Serum sodium 144mEq/L C) Hematocrit 53% D) Serum potassium 3.8 mEq/L

C) Hematocrit 53%

A client is taking furosemide and digoxin for heart failure. Why does the nurse advise the client to drink a glass of orange juice every day? A) Correcting the associated dehydration B) Limiting interaction between the drugs C) Maintaining serum potassium levels D) Preventing increased sodium levels

C) Maintaining serum potassium levels

A client with lower extremity edema and excess fluid in the lungs has been discharged home with the medication furosemide. For this client, which finding is the best indicator that the medication is working effectively: A) High urine output B) Normal potassium level C) Blood pressure in normal range D) Consistent daily weight

D) Consistent daily weight

You are caring for a patient receiving an infusion of 0.45% NS. Which assessment finding is more concerning? A) +1 pitting edema B) Serum sodium 133 mEq/L C) Urine output 80ml/hr D) Decreased level of consciousness

D) Decreased level of consciousness

The nurse is caring for a patient with a positive Chvostek's sign. Which electrolyte imbalance is the patient likely experiencing? A) Hypermagnesemia B) Hypochloremia C) Hyperkalemia D) Hypocalcemia

D) Hypocalcemia

Which of the following nursing actions is the priority for a patient experiencing a potential transfusion reaction? A) Re-type and crossmatch B) Administer epinephrine C) Apply oxygen D) Stop the transfusion

D) Stop the transfusion