Exam 38: Fluids,Electrolytes, Acidbase Balance

A patient with pitting edema in the feet and ankles has excess volume in which fluid compartment?

At a first aid station on a marathon route,a patient after the race complains of headache,muscle cramps,weakness,nausea,and confusion.Which statement made by the patient might explain these symptoms?

The nurse is to administer an intravenous solution to a patient with diffuse edema.This will pull fluid from the interstitial space to the intravascular space.Which prescription would the nurse question for this patient? A prescription for:

A client is admitted to the emergency department (ED)in respiratory distress.The results of his arterial blood gases are the following: pH = 7.30; PCO₂ = 40; HCO₃ = 19 mEq/L; PO₂ = 80.The nurse interprets the findings as which of the following?

The nurse is caring for a patient who is normally healthy but is experiencing dehydration secondary to acute diarrhea and vomiting.What assessment findings would indicate a return to fluid homeostasis? Select all that apply.

An 82-year-old woman was brought to the emergency department by her granddaughter.She is a widow and lives alone,although her granddaughter checks on her daily.She has been vomiting for 2 days and has not been able to eat or drink anything during this time.She has not urinated for 12 hours.Physical examination reveals the following: T = 99.6°F (37.6°C)orally; P = 110 beats/min,weak and thready; BP = 80/52 mm Hg.Her skin and mucous membranes are dry,and there is decreased skin turgor.The patient states that she feels very weak.The following are her laboratory results: Sodium 138mEq/L Potassium 3.7 mEQ/L Calcium 9.2mg/dL Magnesium 1.8 mg/dL, Chloride 99mEq/L BUN 29 mg/dL The nurse recognizes that the patient is displaying symptoms associated with which of the following?

When assisting with bedside central venous catheter (CVC)placement,which nursing intervention is appropriate? Select all that apply.

Which laboratory result on a client's health record should alert the nurse to a potential problem?

The physician has ordered a complete blood count for a 6-year-old child.When the nurse enters the room,she finds the child sobbing uncontrollably.His mother tells him to "shut up and act your age." How should the nurse proceed?