answers, and detailed rationales.
The nurse is providing care for a client with a decreased calcium level. Which of
the following foods should the nurse recommend? (Select all that apply).
a. Sardines
b. Milk
c. Cheese
The nurse is providing care for a client with a serum sodium level of 130 mEq/L.
Which of the following signs and symptoms should the nurse monitor for? (Select
all that apply).
a. Convulsions
b. Decreased LOC
What labs help us determine fluid status? (Select all that apply).
a. Blood Urea Nitrogen (BUN)
b. Serum Sodium (Na+)
c. Creatinine
d. Serum Potassium (K+)
The nurse is providing care for a client who has a serum potassium level of 5.2
mEq/L. Which of the following signs and symptoms should the nurse monitor for?
(Select all that apply).
1
,a. Irregular pulses
b. Hypotension
c. Muscle weakness
d. Cardiac dysrhythmias
While the nurse is washing the face of a patient in renal failure, the patient
demonstrates a spasm of the lips and face. The nurse examines the recent
electrolyte levels to assess the level of
a. calcium
Decreased blood pressure is the #1 sign of fluid volume deficit.
a. False
Explanation: Tachycardia is the #1 sign of fluid volume deficit. Heart rate will
increase first to compensate and maintain blood pressure. Blood pressure may
drop but it is a later sign.
An excess of fluid being pushed into the intravascular space results in? (Select all
that apply).
a. edema
b. sore joints
The nurse is caring for a client with hypovolemia The nurse should anticipate that
the client may experience
a. thirst
2
,Which of the following electrolytes reside mostly in extracellular fluid? (Select all
that apply).
a. Chloride
b. Bicarbonate
c. Sodium
Prior to hanging an IV containing potassium, the nurse will confirm
a. urine output of at least 30 mL/hr
The nurse is providing care for a client who currently has a serum sodium lab
value of 148 mEq/L. Which of the following signs and symptoms should the nurse
monitor for? (Select all that apply).
a. Seizures
b. Headache
c. Abdominal cramping
Which substance accounts for 90% of plasma?
a. water
The nurse is providing care for a client with decreased sodium level. Which of the
following foods should the nurse recommend? (Select all that apply).
a. Pre-made meals such as canned or frozen dinners
b. Celery
c. Ham
3
, The nurse is providing care for a client who has an elevated serum calcium level.
Which of the following signs and symptoms should the nurse monitor for? (Select
all that apply).
a. Bone pain
b. Blood clots
The nurse is caring for a client who was admitted with the following labs.
Which of the following interventions should the nurse perform? (Select all that
apply).
a. Provide extra blankets for warmth
b. Observe and institute seizure precautions
A patient is admitted to the hospital with severe dehydration. The nurse would
expect to see which of the following serum lab values?
a. Na 155 mEq/L
A client presents to the Emergency Department (ED) with a diagnosis of Metabolic
Acidosis. The nurse understands that which of the following conditions can
contribute to this metabolic derangement. (Select all that apply.)
a. Excessive ingestion of Aspirin
b. Fever
c. Severe diarrhea
Which organs in the body serve as a compensatory function to maintain acid-base
balance? (Select all that apply.)
4