Concept of Fluid & Electrolytes EAQ
Which degree of edema will result in a 6-mm deep indentation upon pressure application?
3+
What is the percentage of total body water in a premature newborn?
85%
An ECG is performed before a client is to have a cardiac catheterization, and hypokalemia is suspected. To confirm the presence of hypokalemia, the nurse expects the primary health care provider to prescribe:
A serum electrolyte level
What other name can a nurse use for vasopressin?
ADH antidiuretic hormone
A nurse is administering serum albumin intravenously to a client with ascites. In response to this therapy what does the nurse expect to decrease?
Abdominal girth
The nurse is caring for a client who is receiving a thiazide diuretic for hypertension. What food selection indicates that dietary teaching about thiazide diuretics is successful?
Broccoli
A pregnant client with severe preeclampsia is receiving IV magnesium sulfate. What should the nurse keep at the bedside to prepare for the possibility of magnesium sulfate toxicity?
Calcium gluconate
Thick mucous gland secretions, elevated sweat electrolytes, meconium ileus, and difficulty maintaining and gaining weight are associated with this autosomal recessive disorder:
Cystic fibrosis
What drug can cause diabetes insipidus?
Demeclocycline
Which hormone aids in regulating intestinal calcium and phosphorus absorption?
Glucocoritcoids
The nurse suspects that a client with inhalation anthrax is in the fulminant stage of the disease. Which symptom supports the nurse's conclusion?
Hematemesis
A client is receiving hypertonic tube feedings. What should the nurse consider to be the main reason this client may experience diarrhea?
High osmolarity of feedings
What does a nurse identify as the priority short term goal for a toddler with dehydration caused by diarrhea?
Improvement of fluid balance
The nurse is teaching a client receiving peritoneal dialysis about the reason dialysis solution is warmed before it is instilled into the peritoneal cavity. What information would the nurse share?
It encourages removal of serum urea by preventing constriction of peritoneal blood vessels
Which part of the nephron are the sites of action for furosemide?
Loop of Henle, Distal tubule, and Proximal tubule.
The serum ammonia level of a client with hepatic cirrhosis and ascites is elevated. The priority nursing intervention is to
Observe the client for increasing confusion
Which hormone regulates blood levels of calcium?
PTH
The nurse is performing a physical examination of a client by placing the left hand on the back and supporting the client's right side between the rib cage and the iliac crest. Which physical assessment maneuver is the nurse performing?
Palpation
A client is receiving furosemide to help treat heart failure. What lab result will cause the nurse to notify the PCP?
Potassium 3.0mEq/L
A client with a hemoglobin level of 6.2g/dL is receiving packed red blood cells. 20 minutes after the infusion starts, the client complains of chest pain, difficulty breathing, and feeling cold. What is the first action the nurse should take?
Stop the transfusion
A nurse is notified that the latest potassium level for a client in acute renal failure is 6.2 mEq. What is most important for the nurse to do?
Take vital signs and notify PCP
While caring for a patient with a second degree left ankle sprain, a nurse raises the injured part above heart level. What is the reason behind this nursing intervention?
To prevent further edema
When assessing the lab results of a client with type II diabetes, what would the nurse expect the results to reveal?
Urine negative for ketones blood positive for glucose
A nurse is caring for a 9 month old with severe dehydration. What does the nurse expect to note while completing a physical assessment of this infant?
Weak, rapid pulse
