Unit 11 questions

A client has been admitted with a diagnosis of intractable vomiting and can tolerate only sips of water. The initial blood work shows a sodium level of 122 mEq/L (122 mmol/L) and a potassium level of 3.6 mEq/L (3.6 mmol/L). Based on the lab results and symptoms, what is the client experiencing?

Hyponatremia -The normal range for serum sodium is 135 to 145 mEq/L (135 to 145 mmol/L), and for serum potassium it is 3.5 to 5 mEq/L (3.5 to 5 mmol/L). Vomiting and use of diuretics, such as furosemide (Lasix), deplete the body of sodium. Without intervention, symptoms of hyponatremia may progress to include neurologic symptoms such as confusion, lethargy, seizures, and coma.

Which diagnostic test may be used to distinguish vascular from nonvascular structures?

Magnetic resonance imaging

explanation2

Magnetic resonance imaging is used for distinguishing vascular from nonvascular structures.

explanation

Potassium, a gastrointestinal (GI) constituent, moves quickly through the GI tract of a client with diarrhea and is not absorbed; therefore, serum potassium can become dangerously low and cause cardiac dysrhythmia

A client is receiving oxycodone postoperatively for pain. The health care provider's prescription indicates that the dose should be administered every three hours for eight doses. What should the nurse assess before administering each dose of oxycodone?

Respiratory rate and level of consciousness

Soft swishing sounds of breathing are heard when the nurse auscultates a client's chest. What term should be used when documenting this assessment?

Vesicular breath sounds

Magnetic resonance imaging is used for distinguishing vascular from nonvascular structures.

fluid and electrolyte balance

A nurse reviews the history of a client who is hospitalized with a diagnosis of urinary calculi and identifies which factor may have contributed to the development of the calculi?

history of hyperthyroidism

Explaination3

hyperparathyroidism results in high serum calcium levels; as the blood is filtered through the nephron, precipitates of calcium may form calculi

A nurse is planning care for a client admitted to the hospital with abdominal spasms and pain associated with severe diarrhea. What primary serum blood level should the nurse monitor?

potassium

A 3-year-old child is admitted with partial- and full-thickness burns over 30% of the body. What significant adverse outcome during the first 48 hours should the nurse attempt to prevent?

shock