Fluid/Electrolyte Practice Test

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (select all that apply) -Increased heart rate -Increased BP -Increased respiratory rate -Increase hematocrit -Increased temperature

-Increased heart rate -Increased BP -Increased respiratory rate

A nurse is assessing a client who has fluid volume deficit. The nurse should expect which of the following findings?

Increased BUN

A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment

Lethargy

A nurse is reviewing the laboratory test results of a client who is scheduled for a carotid endarterectomy in 3 days. Which of the following results should the nurse report to the provider?

Sodium 151 mEq/L

A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer?

Sodium polystyrene

A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

The client who has gastroenteritis and is febrile

A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?

pH below 7.35

A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2500 mL in the past 6 hr. Which of the following electrolyte imbalance should the nurse monitor the client for?

Decreased potassium level

A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation of adequate fluid replacement?

Heart rate

A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

Obtain a 12-lead ECG

A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?

weak, irregular pulse

A nurse is caring for a client who is postoperative and who respirations are shallow and 9/min. Which of the following acid-based imbalances should the nurse identify the client as being at risk for developing initially?

Respiratory acidosis

A nurse is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the nurse expect?

Widen QRS complexes

A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?

A client who has diarrhea

A nurse is preparing to administer medications to four clients. The nurse should administer medications to which of the following clients first?

A client who has renal failure, a serum potassium of 5.8/mEq/L, and is prescribed sodium polystyrene sulfonate

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?

Cardiac dysrhythmias

A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?

PaCO2 50 mm Hg

A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 48 mm Hg and the HCO3 is 23 mRq/L. The nurse should recognize that these findings indicate of which of the following acid base balances?

Respiratory acidosis

a nurse is caring for a client who arterial blood gas results show pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

Respiratory acidosis

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?

Restrict fluid intake to 1000 mL per day