Exam 6: Fluids and Electrolytes

The nurse is planning care for a client admitted to the unit with a diagnosis of dehydration.The client's lab values indicate a low level of serum sodium.Based on the assessment finding,the nurse determines that Risk for Electrolyte Imbalance is an appropriate nursing diagnosis.Which medical condition supports this nursing diagnosis?

A client in the emergency department is being admitted with a diagnosis of fluid volume deficit.When preparing to assess this client,on which body system should the nurse focus to determine the cause of the imbalance?

The nurse is providing care to a client who is exhibiting clinical manifestations of a severe fluid and electrolyte imbalance.Based on this data,which of the following orders should the nurse anticipate from the healthcare provider? Select all that apply.

The nurse is planning a seminar to instruct community members on ways to reduce the development of chronic kidney disease (CKD).Which topics should the nurse include in the seminar? Select all that apply.

What is the principal mineralocorticoid that assists in regulating the body's serum sodium balance?

Which laboratory finding suggests that a client is experiencing acute kidney injury (AKI)as a result of glomerular damage?

An older adult client is admitted to the hospital after a fall.The client is intermittently confused.Based on age and current data,which of the following conditions is the client most at risk for developing?

An older adult client is brought to the emergency department.The client has been experiencing fever,nausea,and vomiting for the past 2 days.The client denies thirst.Urine dipstick indicates a decreased urine specific gravity.Based on this data,which diagnosis should the nurse most anticipate for this client?

Which medication is used to increase renal blood flow in clients with acute kidney injury?

A client is admitted to the emergency department for vomiting and diarrhea that has lasted 4 days.The client's current weight is 154 pounds.The healthcare provider has diagnosed the client with a viral infection.The nurse has been monitoring intravenous fluids and urine output.Which urinary output would indicate that efforts to rehydrate this client have been successful?

The nurse is caring for a client diagnosed with heart failure who is admitted to the medical-surgical unit with acute hypokalemia.Which drug on the client's medication administration record may have contributed to the client's current hypokalemic state?

Which stage of chronic kidney disease is characterized by hypertension,anemia,malnutrition,altered bone metabolism,metabolic acidosis,and a severely decreased glomerular filtration rate?

The nurse is caring for a client admitted with a diagnosis of acute kidney injury (AKI).The client asks the nurse,"Are my kidneys failing? Will I need a kidney transplant?" Which response by the nurse is the most appropriate?

An increase in blood hydrostatic pressure would result in which fluid volume disturbance?

The nurse is preparing to administer 20 mEq of potassium chloride to a client who has been vomiting.Which information about the purpose of this medication should the nurse explain to the client?

A client diagnosed with frequent urinary tract infections is seen in the urology clinic.The nurse reviews the client's medical history and determines that the client is at risk for acute kidney injury.Which items in the client's history support this conclusion? Select all that apply.

Rejection of a donor kidney that begins months to years after transplant surgery and does not respond to increased immunosuppression would be categorized as which type of rejection?

The nurse is concerned that a client diagnosed with a fluid imbalance is at risk for an alteration in perfusion.Which assessment data should indicate to the nurse that the client is not currently experiencing an alteration in perfusion? Select all that apply.

The nurse reviewing lab results on one of her adult clients notices the client's serum sodium level is 150 mg/dL.Based on this data,which interventions should the nurse plan for this client? Select all that apply.

The nurse is instructing a client diagnosed with heart failure about a prescribed sodium-restricted diet.Which client statement indicates that additional teaching is required?