Exam 25: Determinants and Assessment of Fluid and Electrolyte Balance

Which findings would the nurse evaluate as indication that a pregnant female is hypovolemic? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient's potassium and calcium levels are below the normal range.The nurse should check for a decreased level of which other electrolyte?

The nurse notes that a patient's serum albumin level is elevated.Which other lab result should the nurse review?

The nurse is planning the care of a patient in the intensive care unit.With regard to maintaining adequate fluid volume for this patient,the nurse realizes that interventions should be planned to reduce the risk of which condition?

A patient admitted to the intensive care unit has been taking high levels of magnesium supplements.The nurse would add which information to this patient's plan of care?

After reviewing a patient's laboratory values,the nurse determines the patient is experiencing fluid volume deficit.Which laboratory value would the nurse cite as supporting this determination?

The nurse is reviewing laboratory results for a patient just admitted to the intensive care unit.The nurse would anticipate interventions to be necessary for which values? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Which patient would the nurse expect to have the least amount of body fluid?

A patient's BUN/creatinine ratio is 13:1.How would the nurse interpret this finding?

While assessing a high-acuity patient,the nurse learns the patient has a history of arthritis.Which question would provide the most information regarding potential impact on the patient's fluid and electrolyte balance?

A patient is admitted with bleeding from the gastrointestinal tract.The nurse plans interventions to support the balance of which fluid volume compartment?

The nurse is assessing for the presence of Trousseau sign.Which findings would the nurse evaluate as indicating this sign is present? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient in the intensive care unit has low blood pressure.If the patient's baroreceptors are functioning appropriately,what will the nurse assess in this patient?

Laboratory testing reveals a patient's serum osmolality to be 240 mOsm/kg.The nurse would assess for which conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Which laboratory value would require that the nurse closely monitor a patient's cardiac rhythm?

A urine electrolyte test is ordered to evaluate aldosterone disorder in a patient just admitted to the intensive care unit.How would the nurse collect this specimen?

When assessing the patient's edema of the lower extremities,the nurse notes that it takes 3 minutes before the 8-mm indentation created by applying pressure above the ankles disappears.This information should be documented as being which type of pitting edema?

A patient's laboratory report indicates critically low serum calcium levels.The nurse would conduct further assessment for which conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient's temperature has been elevated for the past 24 hours.The nurse should monitor which electrolyte?

A patient with hypoxia is at risk for disruption of the sodium potassium pump.Which would the nurse expect if this occurs?