Exam 6: Fluids and Electrolytes

The nurse is caring for a child who weighs 33 lb and has been diagnosed with dehydration.The healthcare provider's orders state that the child is to receive 50 mL/kg of oral fluids for the next 4 hours.How many total mL of fluid should the nurse provide to the client? Calculate to the nearest whole number. ________ mL

Which statement is true?

A client diagnosed with acute kidney injury (AKI)is receiving peritoneal dialysis.The nurse is explaining the dialysis process to the client and family.Which statement should the nurse include in this discussion?

The nurse is caring for a client with a potassium level of 5.9 mEq/L.The healthcare provider prescribes both glucose and insulin for the client.The client's spouse asks,"Why is insulin needed?" Which response by the nurse is the most appropriate?

A client with acute kidney failure is complaining of a metallic taste in the mouth and has no appetite.Based on this data,which intervention by the nurse is the most appropriate?

The nurse is preparing to discharge a client diagnosed with chronic kidney disease (CKD).The nurse is teaching the client and family about administering calcium acetate tablets by mouth with each meal at home.Which explanation about this medication is most appropriate for the nurse to include?

The nurse is preparing to administer a hemodialysis treatment for a client diagnosed with chronic kidney disease (CKD).Which laboratory values should the nurse anticipate prior to the client's treatment? Select all that apply.

A client diagnosed with acute kidney injury (AKI)has jugular vein distention,lower extremity edema,and elevated blood pressure.Based on this data,which nursing diagnosis is most appropriate?

Which of the following terms refers to severe,generalized edema,which may occur as a result of fluid volume excess?

The nurse is caring for a client diagnosed with chronic kidney disease (CKD)who is pale and experiencing fatigue.The nurse attributes these symptoms to anemia secondary to CKD.The client's spouse asks why the client is anemic.Which response by the nurse is the most appropriate?

A young school-age client is in the hospital with an acute kidney injury diagnosis following a streptococcus infection.The client's parents primarily speak Spanish but have a limited ability to understand English.Through an interpreter,the parents ask the nurse what mistake they made that caused their child to be so sick.Which response by the nurse is the most appropriate?

A client diagnosed with heart failure is prescribed an oral fluid restriction of 1200 mL per day.How many ounces of fluid would the client be permitted during the day shift?

A client diagnosed with acute kidney injury (AKI)will be discharged to home in the next few days.When conducting dietary instruction,the nurse should teach the client to choose proteins that are high in biological value.Which client statement indicates that this teaching has been effective?

The nurse is teaching a group of children and their parents about the prevention of heat-related illness during exercise.Which statement by a parent indicates an appropriate understanding of the preventive techniques taught during the session?

Why is development of Kussmaul respirations problematic in a client with chronic kidney disease (CKD)?

Which symptom suggests that a client is entering the maintenance phase of acute kidney injury (AKI)?

A pediatric nurse is assigned phone triage for the shift.The nurse takes a call from the mother of a 3-month-old infant.The mother tells the nurse that the child has been vomiting and experiencing diarrhea for several days.Based on this information,which response by the nurse is most appropriate?

The nurse is caring for a client from another country who was admitted to the hospital with a diagnosis of hypertension and chronic kidney disease.The client is receiving hemodialysis three times a week.When the nurse inquires about diet,the client reports the use of salt substitutes.Why should the nurse teach the client to avoid these products?

The nurse identifies the diagnosis Risk for Impaired Skin Integrity as applicable for a client diagnosed with heart failure.Which assessment finding supports the use of this diagnosis for the client?

The nurse instructs a client diagnosed with chronic kidney disease (CKD)regarding the prescribed medication furosemide (Lasix).Which client statement indicates that the teaching has been effective?