Exam 17: Fluid, Electrolyte, and Acid-Base Imbalances

When assessing a pregnant patient with eclampsia who is receiving IV magnesium sulfate,which finding should the nurse report to the health care provider immediately?

A nurse in the outpatient clinic is caring for a patient who has a magnesium level of 1.3 mg/dL.Which assessment would be most important for the nurse to make?

A patient who has a small cell carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH).The nurse should notify the health care provider about which assessment finding?

The nurse assesses a patient who has been hospitalized for 2 days.The patient has been receiving normal saline IV at 100 mL/hr,has a nasogastric tube to low suction,and is NPO.Which assessment finding would be a priority for the nurse to report to the health care provider?

A patient who had a transverse colectomy for diverticulosis 18 hours ago has nasogastric suction and is complaining of anxiety and incisional pain.The patient's respiratory rate is 32 breaths/minute and the arterial blood gases (ABGs)indicate respiratory alkalosis.Which action should the nurse take first?

The nurse is caring for a patient who has a central venous access device (CVAD).Which action by the nurse is appropriate?

After receiving change-of-shift report,which patient should the nurse assess first?

The nurse notes that a patient who was admitted with diabetic ketoacidosis has rapid,deep respirations.Which action should the nurse take?

A patient has a serum calcium level of 7.0 mEq/L.Which assessment finding is most important for the nurse to report to the health care provider?

An older adult patient who is malnourished presents to the emergency department with a serum protein level of 5.2 g/dL.The nurse would expect which clinical manifestation?

A postoperative patient who had surgery for a perforated gastric ulcer has been receiving nasogastric suction for 3 days.The patient now has a serum sodium level of 127 mEq/L (127 mmol/L).Which prescribed therapy should the nurse question?

When caring for a patient with renal failure on a low phosphate diet,the nurse will inform unlicensed assistive personnel (UAP)to remove which food from the patient's food tray?

A nurse is assessing a newly admitted patient with chronic heart failure who forgot to take prescribed medications and seems confused.The patient complains of "just blowing up" and has peripheral edema and shortness of breath.Which assessment should the nurse complete first?

A newly admitted patient is diagnosed with hyponatremia.When making room assignments,the charge nurse should take which action?

IV potassium chloride (KCl)60 mEq is prescribed for treatment of a patient with severe hypokalemia.Which action should the nurse take?

A patient is admitted for hypovolemia associated with multiple draining wounds.Which assessment would be the most accurate way for the nurse to evaluate fluid balance?

During the admission process,the nurse obtains information about a patient through the physical assessment and diagnostic testing.Based on the data shown in the accompanying figure,which nursing diagnosis is appropriate?

A patient who is lethargic and exhibits deep,rapid respirations has the following arterial blood gas (ABG)results: pH 7.32,PaCO₂ 88 mm Hg,PaCO₂ 37 mm Hg,and HCO₃ 16 mEq/L.How should the nurse interpret these results?

A patient who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.0 mEq/L.The nurse should alert the health care provider immediately that the patient is on which medication?

A patient receives 3% NaCl solution for correction of hyponatremia.Which assessment is most important for the nurse to monitor for while the patient is receiving this infusion?