ATI Fluid, electrolyte, and Acid-Base Regulation Test

A nurse is caring for a client who requires replacement peripheral IV. The client is dehydrated and requires a smaller gauge catheter than the #20-gauge being replaced. Which of the following gauge catheters should the nurse plan to use?

#22-gauge

A nurse is reviewing prescriptions for a client who needs intravenous fluid replacement therapy due to vomiting and diarrhea. Which of the following fluid prescriptions should the nurse expect to initiate?

0.9% sodium chloride solution A 0.9% Sodium chloride solution is isotonic and is used for hydration needs such as vomiting diarrhea hemorrhage and shock. This is the most appropriate solution for the provider to prescribe for this client.

A nurse is calculating a clients intake and output for the last 4 hours. The client consumed 480 ML of water and 402 mL of coffee. The client has also received IV fluids for 4 hr infusing at 100 mL/hr. Which of the following amounts represents the clients intake over the last 4 hr?

1120 mL

A nurse is preparing to administer 1950 mL of 0.45% sodium chloride IV to infuse over 13 hour. The nurse should set the IV pump to deliver how many mL/hr?

150 mL/hr

A nurse is preparing to administer 4200 mL of intravenous fluids to a client to infuse over 24 hours. The nurse should set the IV pump to deliver how many mL/hr?

175 mL/hr

A nurse is caring for a client who has heart failure and a prescription to receive a unit of packed red blood cells. The nurse should plan to infuse the blood over which of the following lengths of time?

4 hr

A nurse is receiving report on for clients. The nurse should identify that which of the following clients might be experiencing hypomagnesemia?

A client who has vomited four times during the last 8 hours Nausea and vomiting are early manifestations of hypomagnesemia.

A nurse is participating in a blood drive and is taking a donation from a client who has type a negative blood. The client asks the nurse what blood types can receive their blood donation. Which of the following responses should the nurse make?

A+, AB-, AB+, A-

A nurse is caring for a client who has the following arterial blood gas values: pH 7.44, PaCO2 37 mmHg, and HCO3 24 mEq/L. The nurse should identify that these values are an indication of which of the following?

Acid-base balance

A nurse is preparing to start an IV for a client who has a high risk for bleeding. Which of the following actions should the nurse take?

Apply a blood pressure cuff set to 30 mmHg

A nurse is teaching a newly licensed nurse about using the nursing process when caring for a client who has an acid base in balance. The nurse should include that the stages of the nursing process should be performed in what order?

Assessment, analysis, planning, implementation, evaluation

A nurse is assessing a client who has been receiving IV therapy for several days and notes that the clients daily weight has increased. The nurse should identify that the client is at increased risk for developing which of the following IV-related complications?

Circulatory overload

A nurse is caring for a client who has experience in hypovolemia. Which of the following findings should the nurse identify as the priority to report to the provider?

Decrease in level of consciousness

A nurse is caring for an older adult client who is experiencing dehydration. The nurse should identify that which of the following factors increases the risk for dehydration in older adult clients? Select all that apply

Decreased kidney function, decreased thirst response, decreased total body fluid

A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first?

Elevate the head of the clients bed

A nurse is reviewing the latest arterial blood gas (ABG) values for a client who is experiencing metabolic alkalosis. The nurse should identify that this action is part of which of the following steps of the nursing process?

Evaluation

A nurse is reviewing arterial blood gas values for a client who is experiencing uncompensated metabolic acidosis. Which of the following ABG value should the nurse expect? Select all that apply

HCO3 19 mEq/L, pH 7.29, PaCO2 35 mm Hg

A nurse is caring for a client who is experiencing respiratory alkalosis. Which of the following actions should be the goal of treatment for the client?

Increase the carbon dioxide level

A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For which of the following complications should the nurse monitor?

Infection at the access site

A nurse is reviewing a clients laboratory results. Which of the following results should the nurse report to the provider?

Magnesium 3 mEq/L

A nurse is reviewing the arterial blood gas values for a client and notes the following results pH 7.49, PaCO2 39MMHG, and HCO3 35mEq/L. The nurse should interpret this ABG reading as an indication of which of the following acid base imbalances?

Metabolic alkalosis The client's abg values Indicate metabolic alkalosis. Metabolic alkalosis is indicated by a pH value above the expected reference range of 7.35 to 7.45, an HCO3 value above the expected range of 21 to 28 mEq/L, and a PACO2 level within the expected reference range of 35 to 45 mmHg

A nurse is reviewing a clients latest arterial blood gas report. Which of the following value should the nurse identify as a priority to report to the provider?

PaO2 76 mmHg

A nurse on a pediatric floor is teaching a newly licensed nurse about IV therapy. Which of the following information should the nurse include?

Perform range of motion exercises on the extremity containing the IV site. The nurse should instruct the newly licensed nurse to perform range of motion exercises on the client's extremity that contains the IV site.

A nurse has completed assessing and analyzing data for a client who has an acid-base imbalance. Which of the following steps of the nursing process should the nurse take next?

Planning

A nurse is reviewing laboratory results for a client and notes the following arterial blood gas values pH 7.31, PaCO2 49 mmHg, and HCO3 25 mEq/L. The nurse should interpret these findings as an indication of which of the following acid-base imbalances?

Respiratory acidosis

A nurse is assessing a client who is exhibiting signs of a fluid and electrolyte in balance. Which of the following findings should the nurse identify as a potential cause for the clients fluid and electrolyte imbalance?

The client reports that they performed yardwork for eight hours and 35°C (95 F) temperature earlier that day

A nurse is caring for a client who is receiving treatment for hyponatremia. The nurse should identify that which of the following findings is an indication that the treatment has been effective? Select all that apply

The client states their muscle spasms are absent, the client denies being confused

A nurse is participating in a blood drive and is taking a donation from a client who has type O+ blood. The client asked the nurse what type of blood they can receive which of the following statements should the nurse make?

You can receive a blood donation from donors with type O- and type O+ blood

A charge nurse is observing a newly licensed nurse who is preparing to administer a blood transfusion to the client. For which of the following actions by the newly licensed nurse should the charge nurse intervene?

The nurse selects 0.45% sodium chloride to use to prime the tubing

The nurse is caring for a client who has a prescription to receive one unit of packed red blood cells. The clients blood type is AB+, and the nurse receives a unit of A- blood from the blood bank. Which of the following actions should the nurse take?

Verify the unit of blood with another nurse