Ch 6 Nursing care of patients with fluid, Electrolytes, and acid-base imbalances quiz questions from FA Davis

The nurse is reviewing arterial blood gas (ABG) results for a client. Which pH value would the nurse expect to find in a client with acidosis?

7.23

The nurse is caring for a client who just underwent a parathyroidectomy. What should the nurse have readily available for emergency use?

Calcium gluconate

The nurse is caring for a client receiving multiple liters of intravenous (IV) fluid following surgery. For which complication should the nurse assess?

Fluid volume excess

ABG levels

PH 7.35 - 745 PCO2 35-45 HCO3 22-26

The nurse is caring for a client receiving furosemide. Which of the following clinical manifestations would be of most concern to the nurse?

Weak, irregular pulse and decreased muscle tone (hypokalemia signs)

Metabollic alkalosis

high pH, high HCO3

The nurse is caring for a client admitted with kidney failure waiting to receive dialysis. Which of the following electrolyte imbalances should the nurse expect to see?

hyperkalemia

The nurse is reviewing arterial blood gas (ABG) results for a client with chronic obstructive pulmonary disease (COPD) and notes a pH of 7.23. Which of the following imbalances is the client experiencing?

respiratory acidosis

Example of an electrolyte

sodium, calcium, magnesium, potassium

The nurse is caring for a group of clients. Which of the following clients is at high risk for developing HYPONATREMIA? Select all that apply.

-A client who is nothing by mouth (NPO). -A client taking diuretics. -A client who experienced a near-drowning in fresh water. -A client with a bowel obstruction connected to high intermittent suction

The nurse is caring for a group of clients. Which of the following clients is at high risk for developing hyponatremia? Select all that apply.

-A client who is nothing by mouth (NPO). -A client taking diuretics. -A client who experienced a near-drowning in freshwater

test that we can do to test for Hypocalcemia?

-Chvostek sign (cheek) -trousseau's sign (arm with BP cuff)

A client admitted with hypovolemia asks the nurse the cause of this condition. The nurse identifies which of the following as risk factors for hypovolemia? Select all that apply.

-Hemorrhage. -Vomiting. -Liver cirrhosis. -Burns

The nurse is reviewing laboratory values for a client and notes a calcium level of 13 mg/dL. The nurse can expect to see which of the following clinical manifestations? Select all that apply.

-Increased heart rate. -Muscle weakness.

The nurse is caring for a client with severe fluid volume excess. What clinical manifestations should the nurse expect to find on assessment? Select all that apply.

-Increased respirations. -Pitting edema in the feet. -Weight gain. -Crackles in the lungs

what are the normal values for

-Normal magnesium is 1.5 to 2.5mEq/L. This is a normal value. -Normal potassium levels are 3.5 to 5 mEq/L. This value is normal. -Normal calcium levels are 9 to 11mg/dL. This value is normal. -Normal sodium levels are 135 to 145 mEq/L.

The nurse is reviewing lab results for a client with fluid volume deficit and notes a sodium level of 118 mEq/L. The nurse will expect the client to exhibit which of the following clinical manifestations? Select all that apply.

-confusion. -changes in mental status

A client with dehydration has been prescribed 500 mL of 0.9% normal saline to run over 3 hrs using a microdrip set with a drip factor of 60 gtt/mL. Calculate the drip rate for the solution. Record your answer as a whole number. Enter the numeral only.

1hr/60min x 500ml/3hrs x 60gtt/1ml = 166.66 we round to 167 gtt

The nurse is caring for a group of clients. Which of the following clients is at highest risk for fluid volume excess?

A client who has received six liters of intravenous (IV) fluid

The nurse is caring for a client with a calcium level of 6 mg/dL. The nurse would expect the client to exhibit which clinical manifestation?

altered heart rhythm

The nurse is caring for a client with fluid volume excess who has begun to feel short of breath. Which of the following interventions should the nurse implement?

elevate the head of the bed

The nurse is caring for a client with fluid volume excess. Which of the following medications can the nurse expect to administer?

furosemide

The nurse is taking a medication history on a client admitted with hypokalemia. Which of the following medications would be of most concern to the nurse?

furosemide

A client presents to the hospital reporting diarrhea and vomiting for 3 days. The nurse notes the client also has a fever and tachycardia. The nurse suspects the client is experiencing which of the following?

hyponatremia

metabolic acidosis

low pH, low HCO3

respiratory alkalosis

high pH, low CO2

respiratory acidosis

low pH, high CO2

A client with hypokalemia is prescribed a second order for 1 L of 0.9% normal saline with 40 mEq of potassium per liter. The fluid is ordered to run for 8 hrs. At what rate will the nurse set the infusion pump? Enter the numeral only.

1 liter = 1000 mL. 1000ml/8 hours = 125 mL/hr

The nurse is reviewing lab values for a client and notes a magnesium level of 1.0 mEq/L. Which of the following interventions should the nurse expect to implement?

Administer magnesium sulfate intravenously (IV) per order