RNSG 1533 Exam 2: Nutrition, Elimination, Fluid & Electrolytes EXAM
Exam Coverage: Nutrition principles, digestion and metabolism, fluid
and electrolyte balance, acid-base regulation, urinary and bowel
elimination, and related nursing interventions.
The RNSG 1533 Exam 2: Nutrition, Elimination, Fluid & Electrolytes
assesses understanding of how the body maintains balance and how
nurses support these processes. It emphasizes patient assessment,
recognizing imbalances, implementing appropriate interventions, and
managing conditions such as dehydration, electrolyte disturbances,
and elimination disorders to ensure safe and effective patient care.
,A nurse is reviewing the arterial blood gas lab report for a client who
has chronic renal failure. Which of the following is an expected
finding?
A. pH 7.25, HCO3 19 mEq/L, PaCO2 30 mm Hg
B. pH 7.30, HCO3 26 mEq/L, PaCO2 50 mm Hg
C. pH 7.50, HCO3 20 mEq/L, PaCO2 32 mm Hg
D. pH 7.55, HCO3 30 mEq/L, PaCO2 31 mm Hg
A. pH 7.25, HCO3 19 mEq/L, PaCO2 30 mm Hg
The client with renal failure would be in metabolic acidosis (low
HCO3, low pH, and low or normal PaCO2. Normal lab values include
pH 7.35-7.45, HCO3 21-28 mEq/L, and PaCO2 35-45 mm HG.
,A nurse is admitting a 2-year-old client who has acute gastroenteritis.
Which of the. following should be the nurse's initial action?
A. Initiating isotonic fluids with 20mEq/L potassium chloride
B. Administering a promethazine suppository
C. Ensuring the toddler is voiding
D. Collecting a stool sample
C. Ensuring the toddler is voiding
When a toddler has a diagnosis of gastroenteritis, the nurse should
collect a urine specimen prior to administering potassium. The nurse
should anticipate a decreased serum potassium level. However, the
nurse should also validate that the kidneys are able to produce urine
and excrete potassium. If kidney function is altered, potassium will not
, be excreted and the toddler will develop hyperkalemia. Administering
potassium prior to validating renal functioning can jeopardize the
toddler's safety. The nurse should begin IV fluids without the
potassium. The potassium should be added after the toddler's first
void.
Exam Coverage: Nutrition principles, digestion and metabolism, fluid
and electrolyte balance, acid-base regulation, urinary and bowel
elimination, and related nursing interventions.
The RNSG 1533 Exam 2: Nutrition, Elimination, Fluid & Electrolytes
assesses understanding of how the body maintains balance and how
nurses support these processes. It emphasizes patient assessment,
recognizing imbalances, implementing appropriate interventions, and
managing conditions such as dehydration, electrolyte disturbances,
and elimination disorders to ensure safe and effective patient care.
,A nurse is reviewing the arterial blood gas lab report for a client who
has chronic renal failure. Which of the following is an expected
finding?
A. pH 7.25, HCO3 19 mEq/L, PaCO2 30 mm Hg
B. pH 7.30, HCO3 26 mEq/L, PaCO2 50 mm Hg
C. pH 7.50, HCO3 20 mEq/L, PaCO2 32 mm Hg
D. pH 7.55, HCO3 30 mEq/L, PaCO2 31 mm Hg
A. pH 7.25, HCO3 19 mEq/L, PaCO2 30 mm Hg
The client with renal failure would be in metabolic acidosis (low
HCO3, low pH, and low or normal PaCO2. Normal lab values include
pH 7.35-7.45, HCO3 21-28 mEq/L, and PaCO2 35-45 mm HG.
,A nurse is admitting a 2-year-old client who has acute gastroenteritis.
Which of the. following should be the nurse's initial action?
A. Initiating isotonic fluids with 20mEq/L potassium chloride
B. Administering a promethazine suppository
C. Ensuring the toddler is voiding
D. Collecting a stool sample
C. Ensuring the toddler is voiding
When a toddler has a diagnosis of gastroenteritis, the nurse should
collect a urine specimen prior to administering potassium. The nurse
should anticipate a decreased serum potassium level. However, the
nurse should also validate that the kidneys are able to produce urine
and excrete potassium. If kidney function is altered, potassium will not
, be excreted and the toddler will develop hyperkalemia. Administering
potassium prior to validating renal functioning can jeopardize the
toddler's safety. The nurse should begin IV fluids without the
potassium. The potassium should be added after the toddler's first
void.
