TARGETED MEDICAL-SURGICAL: FLUID, ELECTROLYTE, AND ACID-BASE

TARGETED MEDICAL-SURGICAL: FLUID, ELECTROLYTE, AND ACID-BASE While reviewing a clients laboratory results, a nurse notes a serum calcium level of 8.0 mg/dL. Which of the following actions should the nurse take? o Implement seizure precautions o Administer phosphate o Initiate diuretic therapy o Prepare the client for hemodialysis A nurse is preparing to administer oral potassium for a client who has potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first? o Administer a hypertonic solution o Repeat the potassium level o Withhold the medication o Monitor for paresthesia A nurse is reviewing the laboratory report a client who has fluid volume excess. Which of the following laboratory values should the nurse expect? o Hemoglobin 20 g/dL o Hematocrit 34% o BUN 25 mg/dL o Urine specific gravity 1.050 A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect? o Hypotension o Peripheral edema o Facial flushing o Hyperreflexia A nurse is teaching nutritional strategies to a client who has a low serum calcium level and an allergy to milk. Which of the following statements by the client indicates an understanding of the teaching? o “I will eat more cheese because I cant drink milk” o “I need to avoid foods with vitamin D because I am allergic to milk” o “I will stop taking my calcium supplements if they irritate my stomach” o “I will add broccoli and kale to my diet” A nurse is reviewing the ABG results for four clients. Which of the following findings should the nurse identify as metabolic acidosis? o pH 7.51, PaO2 94 mm Hg, PaCO2 38 Hg, HCO3- 29 mEq/L