Exam 29: Fluids, Electrolytes, and Introduction to Acid-Base Balance

The nurse is providing care for a client with a pH of 7.

During change of shift report, a nurse is informed that a client has new orders for sodium polystyrene (Kayexalate).After providing the treatment later in the shift, which documentation will the nurse make in regard to the client's care?

The nurse is caring for multiple adult clients in an acute care setting.The nurse should consider which client to be the most unlikely for an electrolyte imbalance?

While reviewing laboratory results, the nurse notes that one of the clients has a low blood urea nitrogen (BUN)level.Which cause is the most likely related to the result?

Which client does the nurse expect to need teaching about the American Heart Association recommendation to limit salt intake to 1,500 mg/d?

The nurse is admitting a client into the hospital with a diagnosis of dehydration related to vomiting.Which symptom of dehydration will the nurse expect during physical assessment?

The nurse is caring for a client taking furosemide.The nurse recognizes that dietary teaching is successful if the client chooses which food?

The nurse is receiving a client who is being admitted through the emergency department.The client is a roofer who became confused and disoriented while on a roof during the heat of the day.The nurse anticipates that which IV fluid may be included in the treatment plan?

The nurse applies the principles of anatomy and physiology to client care.Which factor does the nurse understand as having the most affect on fluid movement in the body?

The nurse is caring for a client with a low serum calcium level.Which symptom of hypocalcemia is unexpected by the nurse?

The nurse reviews a client's electrolyte levels on a laboratory report and notes the client has hyponatremia.Which symptoms will the nurse expect to find during assessment?

The nurse is transferring a client to the intensive care unit (ICU)and reports the client is experiencing "third spacing." Which manifestation will the ICU nurse expect to see?

The nurse is caring for a client taking the diuretic furosemide.The nurse will be most concerned about which assessment finding?

The nurse is providing care for a client recently admitted with a diagnosis of hypercalcemia.The nurse will contact the physician if the client reports taking which medication?

The nurse is providing care for an individual admitted with an acute asthma attack.Arterial blood gas (ABG)results indicate pH = 7.33; CO₂ = 49; HCO₃ = 26; and oxygen saturation is 87%.After initiating treatment with IV fluids, bronchodilators, and oxygen therapy at 4 L via nasal cannula (NC), the client's repeat ABG results are pH = 7.35; CO₂ = 47; HCO₃ = 26; and oxygen saturation is 89%.Which action should the nurse take next?

The nurse needs to be aware of the functions of water in the body.Which presented function is untrue?

The nurse provides dietary teaching for a client diagnosed with hypomagnesemia.The nurse determines the teaching has been effective if the client discusses including which foods in the daily diet? Select all that apply.

A nurse is caring for multiple clients on a medical floor.Which client should the nurse see first?

The nurse is counseling a young female client who is a long-distance runner.Which factor does the nurse recognize as the greatest risk for this client to develop dehydration?

The nurse is caring for a client admitted with fluid volume deficit.Which diagnostic test results does the nurse identify as supporting the client's diagnosis? Select all that apply.