Practice Questions / Exam 2 / NUR 113 And Correct Verified Answers Pass Guaranteed Solutions

You are caring for a new client on your unit who is third-spacing fluid. You know to assess for what type of edema? - correct answers Generalized The nurse is caring for a client with a serum sodium concentration of 113 mEq/L (113 mmol/L). The nurse should monitor the client for the development of which condition? - correct answers Confusion An elderly client takes 40 mg of furosemide twice a day. Which electrolyte imbalance is the most serious adverse effect of diuretic use? - correct answers Hypokalemia A priority nursing intervention for a client with hypervolemia involves which of the following? - correct answers Monitoring respiratory status for signs and symptoms of pulmonary complications. A client with a suspected overdose of an unknown drug is admitted to the emergency department. Arterial blood gas values indicate respiratory acidosis. What should the nurse do first? - correct answers Prepare to assist with ventilation. A client is taking spironolactone to control hypertension. The client's serum potassium level is 6 mEq/L. What is the nurse's priority during assessment? bowel sounds respiratory rate electrocardiogram (ECG) results neuromuscular function - correct answers electrocardiogram (ECG) results A client has a serum calcium level of 7.2 mg/dl (1.8 mmol/L). During the physical examination, the nurse expects to assess: Goodell's sign. Homans' sign. Hegar's sign. Trousseau's sign. - correct answers Trousseau's sign A client admitted with acute anxiety has the following arterial blood gas (ABG) values: pH, 7.55; partial pressure of arterial oxygen (PaO2), 90 mm Hg; partial pressure of arterial carbon dioxide (PaCO2), 27 mm Hg; and bicarbonate (HCO3-), 24 mEq/L. Based on these values, the nurse suspects: metabolic acidosis. metabolic alkalosis. respiratory alkalosis. respiratory acidosis. - correct answers respiratory alkalosis A client comes to the emergency department with status asthmaticus. His respiratory rate is 48 breaths/minute, and he is wheezing. An arterial blood gas analysis reveals a pH of 7.52, a partial pressure of arterial carbon dioxide (PaCO2) of 30 mm Hg, PaO2 of 70 mm Hg, and bicarbonate (HCO3??') of 26 mEq/L. What disorder is indicated by these findings? - correct answers Respiratory alkalosis Below which serum sodium concentration might convulsions or coma occur? 135 mEq/L (135 mmol/L) 142 mEq/L (142 mmol/L) 145 mEq/L (145 mmol/L) 140 mEq/L (140 mmol/L) - correct answers 135 mEq/L (135 mmol/L) Which is an insensible mechanism of fluid loss? Nausea Bowel elimination Breathing Urination - correct answers Breathing The calcium concentration in the blood is regulated by which mechanism? Adrenal gland Thyroid hormone (TH) Parathyroid hormone (PTH) Androgens - correct answers Parathyroid hormone (PTH) When evaluating arterial blood gases (ABGs), which value is consistent with metabolic alkalosis? O2 saturation 95% PaCO 36 pH 7.48 HCO 21 mEq/L - correct answers pH 7.48 Your client has a diagnosis of hypervolemia. What would be an important intervention that you would initiate? Teach client behaviors that decrease urination. Give medications that promote fluid retention. Limit sodium and water intake. Assess for dehydration. - correct answers Limit sodium and water intake. A nurse is reviewing a report of a client's routine urinalysis. Which value requires further investigation? Absence of protein Absence of glucose Specific gravity of 1.02 Urine pH of 3.0 - correct answers Urine pH of 3.0 Normal urine pH is 4.5 to 8; therefore, a urine pH of 3.0 is abnormal and requires further investigation. Urine specific gravity normally ranges from 1.010 to 1.025, making this client's value normal. Normally, urine contains no protein, glucose, ketones, bilirubin, bacteria, casts, or crystals. Red blood cells should measure 0 to 3 per high-power field; white blood cells, 0 to 4 per high-power field. Urine should be clear, with color ranging from pale yellow to deep amber. A client hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis? Light-headedness or paresthesia Nausea or vomiting Hallucinations or tinnitus Abdominal pain or diarrhea - correct answers Light-headedness or paresthesia Which electrolyte is a major cation in body fluid? Potassium Chloride Phosphate Bicarbonate - correct answers Potassium The nurse is caring for a client in the intensive care unit (ICU) following a near-drowning event in saltwater. The client is restless, lethargic, and demonstrating tremors. Additional assessment findings include swollen and dry tongue, flushed skin, and peripheral edema. The nurse anticipates that the client's serum sodium value would be 125 mEq/L (125 mmol/L) 155 mEq/L (155 mmol/L) 135 mEq/L (135 mmol/L) 145 mEq/L (145 mmol/L) - correct answers 155 mEq/L (155 mmol/L) The physician has prescribed a hypotonic IV solution for a patient. Which IV solution should the nurse administer? 5% glucose in water 0.45% sodium chloride 5% glucose in normal saline solution 0.9% sodium chloride - correct answers 0.45% sodium chloride Treatment of FVE involves dietary restriction of sodium. Which of the following food choices would be part of a low-sodium diet, mild restriction (2 to 3 g/day)? Tomato juice, low-fat cottage cheese, and three slices of bacon. Three ounces of sliced ham, beets, and a salad Three ounces of light or dark meat chicken, 1 cup of spaghetti and a garden salad. A frozen, packaged low-fat dinner with a side salad - correct answers Three ounces of light or dark meat chicken, 1 cup of spaghetti and a garden salad. A client presents with anorexia, nausea and vomiting, deep bone pain, and constipation The following are the client's laboratory values. sodium 130 mEq/L (130 mmol/L) potassium 4.6 mEq/L (4.6 mmol/L) chloride 94 mEq/L (94 mmol/L) calcium 12.9 mg/dL (3.2 mmol/L) What laboratory value is consistent with the client's symptoms? - correct answers Calcium 12.9 mg/dL (3.2 mmol/L) A nurse is caring for a client with metastatic breast cancer who is extremely lethargic and very slow to respond to stimuli. The laboratory report indicates a serum calcium level of 12.0 mg/dl, a serum potassium level of 3.9 mEq/L, a serum chloride level of 101 mEq/L, and a serum sodium level of 140 mEq/L. Based on this information, the nurse determines that the client's symptoms are most likely associated with which electrolyte imbalance? Hypokalemia Hypocalcemia Hyperkalemia Hypercalcemia - correct answers Hypercalcemia A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should anticipate which laboratory test result? Hematocrit of 52% Serum sodium level of 124 mEq/L Serum creatinine level of 0.4 mg/dl Serum blood urea nitrogen (BUN) level of 8.6 mg/dl - correct answers Serum sodium level of 124 mEq/L