section 2 adaptive quiz
magnesium normal range
1.5-2.5
dialysis
a procedure to remove waste products from the blood of patients whose kidneys no longer function
over dehydration signs
edema, ascites, increased CR increased LFT
calcium normal range
8.5-10.5 mg/dL
A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline is started at 125 mL/hour. One hour later, the client begins screaming, "I can't breathe!" How should the nurse respond? a-Elevate the head of the client's bed and obtain vital signs b-Contact the health care provider to request a prescription for a sedative c-Discontinue the IV and notify the health care provider d-Assess the client for allergies and change the IV to an intermittent lock
a
A client is admitted to the hospital with a diagnosis of dehydration and hypokalemia. What is important for the nurse to consider when administering potassium chloride intravenously to this client? a-Oliguria is an indication for withholding intravenous (IV) potassium. b-Rapid infusion of potassium prevents burning at the IV site. c-Average IV dosage of potassium should not exceed 60 mEq in 1 hour. d-Clients with severe deficits should be given IV push potassium.
a
A health care provider prescribes the application of a warm soak to an intravenous (IV) site that has infiltrated. What principle does the nurse determine is in operation when the application of local heat transfers temperature to the body? a-conduction b-Insulation c-Convection d-Radiation
a
A nurse administers an intravenous solution of 0.45% sodium chloride. In what category of fluids does this solution belong? a-Hypotonic b-Hypertonic c-Isotonic d-Isomeric
a
A nurse is caring for a client who is receiving an intravenous (IV) infusion. What should the nurse do first if the IV infusion infiltrates? a-Discontinue the infusion. b-Apply a warm, moist compress. c-Elevate the IV site. d-Attempt to flush the tubing.
a
A nurse is planning to administer a prescribed intravenous (IV) solution that contains potassium chloride. What assessment should be brought to the health care provider's attention before administration via the IV line? a-Urinary output of 200 mL during the previous 8 hours b-Poor tissue turgor with tenting c-Uncharacteristic irritability d-Oral fluid intake of 300 mL during the previous 12 hours
a
For which reason should the nurse request that the healthcare provider increase the intravenous fluid infusion for an older client with an infection? a-Acute Confusion b-General Malaise c-Erythema d-Pruritis
a
The occurrence of which condition would warrant the nurse calling the primary health care provider to discontinue the intravenous (IV) fluids? a-Crackles in lungs b-Urine output of 240 mL over eight hours c-Increase in blood pressure from 110/76 to 130/68 d-Poor skin turgor
a
The client is receiving high-flow intravenous (IV) fluid replacement therapy. Which nursing assessment findings are consistent with fluid volume overload? Select all that apply. a-Presence of dependent edema b-Pulse quality c-Bounding pulse d-Neck vein distention in the upright position e-Pulse pressure
acd
A nurse assesses a client's intravenous site. What clinical finding leads the nurse to conclude that the intravenous (IV) site has been infiltrated? Select all that apply. Sa-welling around the insertion site b-Cessation in flow of solution c-Vein feels hard and cordlike d-Redness along the vein e-Coolness of skin near the insertion site
ae
A client had surgery for a ruptured appendix. Postoperatively, the health care provider prescribes an antibiotic to be administered intravenously twice a day. The nurse administers the prescribed antibiotic via a secondary line into the primary infusion of 0.9% sodium chloride. During the administration of the antibiotic, the client becomes restless and flushed, and begins to wheeze. What should the nurse do after stopping the antibiotic infusion? a-Check the client's temperature b-Assess the client's respiratory status c-Take the client's blood pressure d-Obtain the client's pulse oximetry
b
A client's intravenous (IV) infusion infiltrates. The nurse concludes that what is most likely the cause of the infiltration? a-Contamination during the catheter insertion b-Failure to secure the catheter adequately c-Infusion of a chemically irritating medication d-Excessive height of the IV bag
b
A nurse is assessing the adequacy of a client's intravenous fluid replacement therapy during the first 2 to 3 days after sustaining full-thickness burns to the trunk and right thigh. What assessment will provide the nurse with the most significant data? a-Extent of peripheral edema every 4 hours b-Urinary output every hour c-Weights every day d-Blood pressure every 15 minutes
b
A nurse is caring for a client with chronic kidney failure. What should the nurse teach the client to limit the intake of to help control uremia associated with end stage renal disease (ESRD)? a-Potassium b-Protein c-Fluid d-Sodium
b
Which is the most serious complication for which the nurse must monitor a client with kidney failure? a-Weight loss b-Hyperkalemia c-Platelet dysfunction d-Anemia
b
A nurse is caring for a client with chronic kidney failure. Which clinical findings should the nurse expect when assessing this client? Select all that apply. a-Polyuria b-Muscle twitching c-Hypotension d-Respiratory acidosis e-Lethargy
be
A client with dehydration is prescribed an intravenous (IV) fluid infusion. Which healthcare professional would the nurse expect to be delegated this task? a-Licensed Vocational Nurse b-Licensed Practical Nurse c-Registered nurse d-Unlicensed Assistive Personnel
c
Ten minutes after the initiation of a blood transfusion, a client reports lumbar pain. What is the next nursing action? a-Obtain the vital signs. b-Increase the flow of normal saline. c-Stop the transfusion. d-Assess the pain further.
c
The nurse is caring for a client with a diagnosis of acute kidney failure associated with drug toxicity. When the client complains of thirst, what should the nurse offer? a-Warm milk b-Carbonated soda c-Hard candy d-Ice chips
c
client with acute kidney failure is to receive peritoneal dialysis and asks why the procedure is necessary. What is the nurse's best response? "a-It prevents the development of serious heart problems." b-"It speeds recovery because the kidneys are not responding to other therapy." c-"It helps perform some of the work usually done by the kidneys." d-"It removes toxic chemicals from the body so you will not get worse."
c
A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has been started. One hour after the IV initiation the client begins screaming, "I can't breathe!" What is the nursing priority action? a-Discontinue the IV site and contact the primary health care provider b-Contact the primary health care provider to obtain a prescription for a sedative c-Assess for allergies and change the IV to an intermittent infusion device d-Elevate the head of the bed and obtain vital signs
d
A client is diagnosed as having kidney failure. During the oliguric phase what should the nurse assess the client for? a-Hypoproteinemia b-Hypernatremia c-Hypocalcemia d-Hyperkalemia
d
A client is scheduled for an intravenous pyelogram (IVP). The nurse explains that on the day before the IVP the client must do what? a-Avoid fats and proteins b-Drink a large amount of fluids c-Omit dinner and limit beverages d-Take a laxative before going to bed
d
A client with acute kidney failure becomes confused and irritable. Which does the nurse determine is the most likely cause of this behavior? a-Limited fluid intake b-Hyperkalemia c-Hypernatremia d-Increased blood urea nitrogen level
d
A nurse is caring for a client with a diagnosis of chronic kidney failure who has just been told by the health care provider that hemodialysis is necessary. Which clinical manifestation indicates the need for hemodialysis? a-Hypertension b-Ascites c-Acidosis d-Hyperkalemia
d
A nurse is monitoring a client who is receiving an intravenous (IV) infusion of normal saline. What is a serious complication of IV therapy? a-Infiltration at the catheter insertion site b-Feeling of warmth throughout the body c-Bleeding at the infusion site d-Shortness of breath with crackles
d
What is the role of unlicensed assistive personnel in intravenous (IV) therapy for a client? a-Administering IV fluids and medications b-Monitoring clinical manifestations c-Evaluating the client for clinical manifestations d-Collecting the data to be used in the assessment of the IV site
d
While receiving a blood transfusion, a client develops flank pain, chills, fever, and hematuria. What type of transfusion reaction does the nurse conclude that the client probably is experiencing? a-Pyrogenic b-Allergic c-Anaphylactic d-Hemolytic
d
Extravasation
escape of blood from the blood vessel into the tissue
Infiltration
fluid then leaks into the surrounding tissue
phlebitis
inflammation of a vein
The primary health care provider prescribes a transfusion of two units of packed red blood cells for a client. When caring for the patient receiving blood, what is the priority nursing intervention?
make sure the blood is infused at a slow rate during the first 15mins
Dehydration symptoms include
thirst dark urine difficulty concentrating cognitive deterioration slight headache.
