Exam 7: Fluid and Electrolyte Imbalances

An adult client who has hypervolemia reports a headache, muscle cramps, and vomiting. The nurse notices confusion. Which condition has the client developed?

The nurse suspects a client has pseudohypocalcemia. Which laboratory result does the nurse monitor as a probable cause of this condition?

A client's serum sodium level is 140 mEq/L and serum glucose level is 90 mg/dL. The client's blood urea nitrogen is 12 mg/dL. Calculate the serum osmolality of the client. ____________________.

The nurse is providing care for a client being treated for diabetic ketoacidosis. Assessment reveals the presence of tremors, muscle spasms, a positive Babinski's sign, and cardiac arrhythmias. Which condition does the nurse recognize?

A client is on digitalis, and the laboratory results show that the client is hypokalemic. Which effect does hypokalemia have on the drug administered?

A client has increased serum phosphorus levels. Which condition related to hyperphosphatemia would the nurse expect to find in the client?

A health-care provider prescribes IV potassium infusion for a hypokalemic client who is NPO (nothing by mouth). Which intervention by the nurse is correct when administering IV potassium?

The nurse is providing care for a client in chemotherapy. The client is experiencing nausea and vomiting and reports numbness and tingling around the mouth. Before notifying the health-care provider, which is the most important assessment for the nurse to perform?

A registered nurse is teaching a student nurse about the effects of aldosterone. Which statements made by the student nurse are correct? Select all that apply.

A client has +3 pitting edema on the feet and ascites. Which is the most important laboratory value to be monitored by the nurse given this condition?

A client's laboratory test results show overproduction of aldosterone. Which is the best nursing intervention to maintain serum electrolyte levels in the client?

A registered nurse is teaching a student nurse about the reason for the development of natriuresis. Which statement made by the student nurse indicates effective teaching?

Which nutritional advice should the nurse give to a hypokalemic client? Select all that apply.

A client's serum phosphorus level is 5.5 mg/dL. Which clinical manifestations does the nurse expect the client to exhibit?

Changes in levels of which electrolyte can reduce the body's response to cardiac drugs?

A client's serum magnesium level is 1 mg/dL. Which possible causes does the nurse recognize for this finding? Select all that apply.

A client has hypertension and elevated serum calcium concentration. Which condition is likely to occur in the client?

Which condition is called hypocalcemia?

A nurse is caring for a client who has undergone cardiac surgery. Which is the best method to assess the client's fluid loss or gain?

A client is running a high temperature and is found to have fluid volume deficit. Which signs and symptoms are likely to appear in the client because of fluid volume deficit? Select all that apply.