Evolve Chapter 11: Problems of Fluid and
Electrolyte Balance test with correct
answers
The RN is assessing a 70-year-old client admitted to the unit with severe dehydration.
Which finding requires immediate intervention by the nurse?
A. Client behavior that changes from anxious to lethargic
B. Deep furrows on the surface of the tongue
C. Poor skin turgor with tenting remaining for 2 minutes after the skin is pinched
D. Urine output of 950 mL for the past 24 hours - ANSWER-A. Client behavior that
changes from anxious to lethargic
A client with diarrhea for 3 days and inability to eat or drink well is brought to the
emergency department (ED) by her family. She states she has been taking her diuretics
for congestive heart failure (CHF). What nursing actions are indicated at this time?
Select all that apply.
A. Place the client on bed rest.
B. Evaluate the electrolyte levels.
C. Administer the ordered diuretic.
D. assess for orthostatic hypotension.
E. initiate cardiac monitoring - ANSWER-A. Place the client on bed rest.
B. Evaluate the electrolyte levels.
D. assess for orthostatic hypotension.
E. initiate cardiac monitoring
A client with hypokalemia has a prescription for parenteral potassium chloride (KCl).
Which of these interventions does the nurse use to safely administer KCl?
Select all that apply.
A. Use a potassium infusion prepared by a registered pharmacist.
B. Assess for burning or redness during infusion.
C. Infuse at a rate of no more than 10 mEq per hour.
D. Administer only through a central venous catheter.
, E. Administer by IV push only during cardiac arrest. - ANSWER-A. Use a potassium
infusion prepared by a registered pharmacist.
B. Assess for burning or redness during infusion.
C. Infuse at a rate of no more than 10 mEq per hour.
The nurse is caring for a client who is receiving a loop diuretic for treatment of heart
failure. Which of these actions will be included in the plan of care?
Select all that apply.
A. Assess daily weights.
B. Encourage consumption of citrus fruits.
C. Weigh the client weekly.
D. Monitor serum potassium.
E. Discourage intake of spinach.
F. Monitor for bradycardia. - ANSWER-A. Assess daily weights.
B. Encourage consumption of citrus fruits
D. Monitor serum potassium.
The nurse is caring for a client who takes furosemide (Lasix) and digoxin (Lanoxin). The
client's potassium (K+) level is 2.5 mEq/L (2.5 mmol/L). Which additional assessment
will the nurse make?
A. Heart rate
B. Blood pressure (BP)
C. Increases in edema
D. Sodium level - ANSWER-A. Heart rate
Furosemide (Lasix) has been ordered for a client with heart failure, shortness of breath,
and 3+ pitting edema of the lower extremities. Which assessment finding indicates to
the nurse that the medication has been effective?
A. The client's potassium level is 5.1 mEq/L (5.1 mmol/L).
B. The client's heart rate is 101 beats per minute.
C. The client is free from adventitious breath sounds.
D. The client has experienced a weight gain of 1 pound (0.5 kg). - ANSWER-C. The
client is free from adventitious breath sounds.
The nurse is discussing safety when administering bumetanide with a nursing student.
The nurse recognizes that the student understands side effects of this medication when
the student makes which statement?
Electrolyte Balance test with correct
answers
The RN is assessing a 70-year-old client admitted to the unit with severe dehydration.
Which finding requires immediate intervention by the nurse?
A. Client behavior that changes from anxious to lethargic
B. Deep furrows on the surface of the tongue
C. Poor skin turgor with tenting remaining for 2 minutes after the skin is pinched
D. Urine output of 950 mL for the past 24 hours - ANSWER-A. Client behavior that
changes from anxious to lethargic
A client with diarrhea for 3 days and inability to eat or drink well is brought to the
emergency department (ED) by her family. She states she has been taking her diuretics
for congestive heart failure (CHF). What nursing actions are indicated at this time?
Select all that apply.
A. Place the client on bed rest.
B. Evaluate the electrolyte levels.
C. Administer the ordered diuretic.
D. assess for orthostatic hypotension.
E. initiate cardiac monitoring - ANSWER-A. Place the client on bed rest.
B. Evaluate the electrolyte levels.
D. assess for orthostatic hypotension.
E. initiate cardiac monitoring
A client with hypokalemia has a prescription for parenteral potassium chloride (KCl).
Which of these interventions does the nurse use to safely administer KCl?
Select all that apply.
A. Use a potassium infusion prepared by a registered pharmacist.
B. Assess for burning or redness during infusion.
C. Infuse at a rate of no more than 10 mEq per hour.
D. Administer only through a central venous catheter.
, E. Administer by IV push only during cardiac arrest. - ANSWER-A. Use a potassium
infusion prepared by a registered pharmacist.
B. Assess for burning or redness during infusion.
C. Infuse at a rate of no more than 10 mEq per hour.
The nurse is caring for a client who is receiving a loop diuretic for treatment of heart
failure. Which of these actions will be included in the plan of care?
Select all that apply.
A. Assess daily weights.
B. Encourage consumption of citrus fruits.
C. Weigh the client weekly.
D. Monitor serum potassium.
E. Discourage intake of spinach.
F. Monitor for bradycardia. - ANSWER-A. Assess daily weights.
B. Encourage consumption of citrus fruits
D. Monitor serum potassium.
The nurse is caring for a client who takes furosemide (Lasix) and digoxin (Lanoxin). The
client's potassium (K+) level is 2.5 mEq/L (2.5 mmol/L). Which additional assessment
will the nurse make?
A. Heart rate
B. Blood pressure (BP)
C. Increases in edema
D. Sodium level - ANSWER-A. Heart rate
Furosemide (Lasix) has been ordered for a client with heart failure, shortness of breath,
and 3+ pitting edema of the lower extremities. Which assessment finding indicates to
the nurse that the medication has been effective?
A. The client's potassium level is 5.1 mEq/L (5.1 mmol/L).
B. The client's heart rate is 101 beats per minute.
C. The client is free from adventitious breath sounds.
D. The client has experienced a weight gain of 1 pound (0.5 kg). - ANSWER-C. The
client is free from adventitious breath sounds.
The nurse is discussing safety when administering bumetanide with a nursing student.
The nurse recognizes that the student understands side effects of this medication when
the student makes which statement?
