Exam 6: Fluids and Electrolytes

The nurse is analyzing the intake and output record for a client being treated for dehydration.The client weighs 176 lb and had a 24-hour intake of 2000 mL and urine output of 1200 mL.Based on this data,which conclusion by the nurse is the most appropriate?

During a home visit,the nurse is concerned that an older adult client is developing chronic kidney disease (CKD).The client has no history of cardiovascular disease.Which data in the client's assessment caused the nurse to have this concern? Select all that apply.

The nurse is planning care for a client admitted with a diagnosis of heart failure.Based on this diagnosis,which type of kidney failure is the client at an increased risk for experiencing?

The nurse is administering peritoneal dialysis to a client with a diagnosis of chronic kidney disease (CKD).The nurse notes the presence of a cloudy dialysate return.After notifying the healthcare provider,which action by the nurse is the most appropriate and of highest priority?

Which laboratory finding is suggestive of chronic kidney disease?

The nurse is reviewing laboratory values for a female client suspected of having a fluid imbalance.Which laboratory value should indicate a diagnosis of dehydration to the nurse?

The nurse on a medical-surgical unit completes the shift assessment for a client diagnosed with a multisystem fluid volume deficit.In the assessment,the nurse documents that the client is experiencing tachycardia,decreased urine output,and pale,cool skin.Based on this information,which should the nurse anticipate as the cause of the client's current symptoms?

The nurse receives a shift report on a pediatric medical-surgical unit.The nurse has been assigned four clients for the shift.Which client should the nurse plan to assess first based on an increased risk for dehydration?

The nurse is caring for a client who is receiving intravenous fluids postoperatively following cardiac surgery.The nurse is aware that this client is at risk for fluid volume excess.The family asks why the client is at risk for this condition.Which response by the nurse is the most appropriate?

A client agrees to receive long-term hemodialysis to treat acute kidney injury (AKI).Based on this information,the nurse should prepare the client for which surgical procedure?

The nurse is planning care for a client diagnosed with chronic kidney disease (CKD)and osteoporosis.Based on this information,which should be the nurse's priority diagnosis for this client?

The nurse is reviewing the lab values for a client being cared for on the unit.The client's phosphorus level is currently 2.0 mg/dL.Based on this data,which nursing intervention is most appropriate for the nurse to implement?

A nurse is evaluating whether the drug sodium polystyrene sulfonate (Kayexalate)is exerting the desired therapeutic effect for a client diagnosed with chronic kidney disease (CKD).Which therapeutic effect should the nurse anticipate from this medication?

What is the most frequent complication during hemodialysis?