A patient with kidney dysfunction has increasing confusion, BP 102/70 (81) lying, 86/68
(74) sitting, HR 118 sinus tachycardia, and UO 0.1 mL/kg/hr. What intervention should
the nurse expect first?
Give this one a try later!
Administer IV NS in boluses of 250-500 mL.
, A patient with tumor lysis syndrome reports nausea, abdominal cramps, numbness,
tinglin, and muscle weakness. The K is 7.2 and the ECG rhythm strip shows tall tented T
waves. What other ECG findings should the nurse anticipate at this time?
Give this one a try later!
Widened QRS, prolonged PR
Hyperkalemia shows conduction in the myocardium; as it elevates, ECG
signs range from tall tented T-waves early to asystole late.
A nurse is administering hypertonic saline to a patient with cerebral salt-wasting
syndrome and hyponatremia. Which two assessments are crucial for patient safety and
evaluating response to this treatment?
Give this one a try later!
Monitor serum NA at regular intervals;
Evaluate neurologic status.
A patient with SIADH has the following lab results: serum sodium 128 mEq/L (L), serum
osmolality 275 mOsm/kg H2O (L), and hematocrit 32% (L). Which of the following
interventions should the nurse anticipate?
Give this one a try later!
Decrease of IV fluids to 10 mL/hr
(74) sitting, HR 118 sinus tachycardia, and UO 0.1 mL/kg/hr. What intervention should
the nurse expect first?
Give this one a try later!
Administer IV NS in boluses of 250-500 mL.
, A patient with tumor lysis syndrome reports nausea, abdominal cramps, numbness,
tinglin, and muscle weakness. The K is 7.2 and the ECG rhythm strip shows tall tented T
waves. What other ECG findings should the nurse anticipate at this time?
Give this one a try later!
Widened QRS, prolonged PR
Hyperkalemia shows conduction in the myocardium; as it elevates, ECG
signs range from tall tented T-waves early to asystole late.
A nurse is administering hypertonic saline to a patient with cerebral salt-wasting
syndrome and hyponatremia. Which two assessments are crucial for patient safety and
evaluating response to this treatment?
Give this one a try later!
Monitor serum NA at regular intervals;
Evaluate neurologic status.
A patient with SIADH has the following lab results: serum sodium 128 mEq/L (L), serum
osmolality 275 mOsm/kg H2O (L), and hematocrit 32% (L). Which of the following
interventions should the nurse anticipate?
Give this one a try later!
Decrease of IV fluids to 10 mL/hr
