Questions over Electrolytes/Base and Acids
For an older adult client with dementia who developed dehydration as a result of vomiting and diarrhea, which assessment information BEST reflects the client's fluid balance? -> skin turgor -> Intakes and outputs results -> Client's report about fluid intake -> Blood lab results
Blood lab results
Which client would a nurse recognize as having an age-related impairment of the thirst mechanism when receiving the laboratory reports of a group of older adult clients? Client A Client B Client C Client D
Client A
When receiving hemodialysis, the client may develop hyponatremia. which clinical findings related to the potential development of hyponatremia would the nurse monitor? Select all apply -> Diarrhea -> Seizures -> Chvostek's Sign -> Cardiac Dysrhythmias -> Increased temperature
Diarrhea Seizures
To prevent an adverse outcome while providing care for a client experiencing diarrhea, which client data would the nurse closely monitor? -> Skin condition -> Fluid and electrolytes balance -> Food intake -> Fluid intake and output
Fluid and Electrolyte Balance
Which early sign of respiratory Acidosis would the nurse expect the client with a restrictive airway disease to exhibit? Select all that apply. -> headache -> Irritability -> Restlessness -> Hypertension -> Lightheadedness
Headache Irritability Restlessness
Which change in the arterial blood gases would the nurse expect in a client with hyperventilation due to anxiety? -> Respiratory acidosis -> Respiratory alkalosis -> Respiratory compensation -> Respiratory Decompensation
Respiratory Alkalosis
Which blood gas report most likely reflects the acid-base balance of an infant with severe dehydration? pH of 7.50 and Pco2 of 34 pH of 7.23 and Pco2 of 70 pH of 7.20 and HCO3 of 20 pH of 7.56 and HCO3 of 30
pH of 7.20 and HCO3 of 20
The register nurse (RN) Delegates a task to a licensed practical nurse (LPN). Which client task can be assigned to the LPN? -> Client A -> Client B -> Client C -> Client D
Client B
Which clinical indicator would the nurse expect a client with hyperkalemia to exhibit? Select all that apply. -> Tetany -> Seizures -> Confusion -> Weakness -> Dysrhythmias
Confusion Weakness Dysrhythmias
An arterial Blood gas report indicates the clients pH is 7.25, Pco2 is 35, and HCO3 is 20. Which disturbance would the nurse identify based on these results? -> Metabolic Acidosis -> Metabolic Alkalosis -> Respiratory Acidosis -> Respiratory Alkalosis
Metabolic Acidosis
Which actions would the nurse take to identify hyponatremia in an adolescent client with a perceived inability to ingest food? Select all that applie -> Monitor Vital Signs -> Monitor Behavior -> Monitor Electrolyte Status -> Monitor for targeted daily calorie intake -> Monitor activities for detrimental behaviors
Monitor Vital Signs Monitor Electrolytes Status
which reason would an Intravenous infusion of 5% dextrose with 0.45% Sodium Chloride and 20 mEq of potassium be prescribed for a client with a NG tube set to low intermittent suction? ->prevent constipation ->prevent dehydration -> Prevent vomiting -> prevent electrolyte imbalance
Prevent Electrolyte Imbalance