NUR 292 F&E AND ACID/BASE BALANCE
EXAM QUESTIONS COMPLETE WITH
100% CORRECT ANSWERS
\.The nurse is caring for a client w/ HF. On assessment, the nurse notes that the ct.
is dyspneic, and crackles are audible on auscultation. What additional
manifestations would the nurse expect to notes in this ct. if excess fluid volume is
present?
1. wt. loss and dry skin
2. flat neck and hand veins and decreased UO
3. increased BP and respirations
4. weakness and decreased central venous pressure (cvp) - ANSWERS-3. increased
BP and respirations
\.The nurse reviews a client's record and determines that the client is at risk for
developing a K+ deficit if which situation is documented?
1. sustained tissue damage
2. requires NG suction
3. has hx of Addison's disease
4. uric acid level of 9.4 mg/dL - ANSWERS-2. requires NG suction
,\.Potassium chloride IV is prescribed for a ct. w/ HF experiencing hypokalemia.
Which actions should the nurse take to plan for preparation and administration of
the K+? Select all.
1. Obtain an IV infusion pump
2. Monitor UO during administration
3. Prepare the medication for bolus administration
4. Monitor the IV site for s/s of infection or phlebitis
5. Ensure that the med is diluted in the appropriate volume of fluid
6. Ensure that the bag is labeled so that it reads the volume of K+ in the soln -
ANSWERS-1. Obtain an IV infusion pump
2. Monitor UO during administration
4. Monitor the IV site for s/s of infection or phlebitis
5. Ensure that the med is diluted in the appropriate volume of fluid
6. Ensure that the bag is labeled so that it reads the volume of K+ in the soln
\.The nurse is assessing a ct. w/ a lactose intolerance disorder for a suspected
diagnosis of hypocalcemia. Which clinical manifestation would the nurse expect to
note in the ct?
1. twitching
2. hypoactive bowel sounds
3. negative Trousseau's sign
4. hypoactive deep tendon reflexes - ANSWERS-1. twitching
, \.Which ct. is at risk for the development of a sodium level at 130 mEq/L?
1. ct. taking diuretics
2. ct. w/ hyperaldosteronism
3. ct. w/ Cushing's syndrome
4. ct. taking corticosteroids - ANSWERS-1. ct. taking diuretics
\.The nurse is caring for a ct. w/ HF who is receiving high doses of a diuretic. On
assessment, the nurse notes that the ct. has flat neck veins, generalized muscle
weakness, and diminished deep tendon reflexes. The nurse suspects
hyponatremia. What additional signs would the nurse expect to note in a ct. w/
hyponatremia?
1. muscle twitches
2. decreased UO
3. hyperactive bowel sounds
4. increased specific gravity of urine - ANSWERS-3. hyperactive bowel sounds
\.The nurse reviews a ct's lab report and notes that the ct's serum phosphorus
(phosphate) level is 1.8 mg/dL. Which condition likely caused this serum
phosphorus level?
1. malnutrition
2. renal insufficiency
EXAM QUESTIONS COMPLETE WITH
100% CORRECT ANSWERS
\.The nurse is caring for a client w/ HF. On assessment, the nurse notes that the ct.
is dyspneic, and crackles are audible on auscultation. What additional
manifestations would the nurse expect to notes in this ct. if excess fluid volume is
present?
1. wt. loss and dry skin
2. flat neck and hand veins and decreased UO
3. increased BP and respirations
4. weakness and decreased central venous pressure (cvp) - ANSWERS-3. increased
BP and respirations
\.The nurse reviews a client's record and determines that the client is at risk for
developing a K+ deficit if which situation is documented?
1. sustained tissue damage
2. requires NG suction
3. has hx of Addison's disease
4. uric acid level of 9.4 mg/dL - ANSWERS-2. requires NG suction
,\.Potassium chloride IV is prescribed for a ct. w/ HF experiencing hypokalemia.
Which actions should the nurse take to plan for preparation and administration of
the K+? Select all.
1. Obtain an IV infusion pump
2. Monitor UO during administration
3. Prepare the medication for bolus administration
4. Monitor the IV site for s/s of infection or phlebitis
5. Ensure that the med is diluted in the appropriate volume of fluid
6. Ensure that the bag is labeled so that it reads the volume of K+ in the soln -
ANSWERS-1. Obtain an IV infusion pump
2. Monitor UO during administration
4. Monitor the IV site for s/s of infection or phlebitis
5. Ensure that the med is diluted in the appropriate volume of fluid
6. Ensure that the bag is labeled so that it reads the volume of K+ in the soln
\.The nurse is assessing a ct. w/ a lactose intolerance disorder for a suspected
diagnosis of hypocalcemia. Which clinical manifestation would the nurse expect to
note in the ct?
1. twitching
2. hypoactive bowel sounds
3. negative Trousseau's sign
4. hypoactive deep tendon reflexes - ANSWERS-1. twitching
, \.Which ct. is at risk for the development of a sodium level at 130 mEq/L?
1. ct. taking diuretics
2. ct. w/ hyperaldosteronism
3. ct. w/ Cushing's syndrome
4. ct. taking corticosteroids - ANSWERS-1. ct. taking diuretics
\.The nurse is caring for a ct. w/ HF who is receiving high doses of a diuretic. On
assessment, the nurse notes that the ct. has flat neck veins, generalized muscle
weakness, and diminished deep tendon reflexes. The nurse suspects
hyponatremia. What additional signs would the nurse expect to note in a ct. w/
hyponatremia?
1. muscle twitches
2. decreased UO
3. hyperactive bowel sounds
4. increased specific gravity of urine - ANSWERS-3. hyperactive bowel sounds
\.The nurse reviews a ct's lab report and notes that the ct's serum phosphorus
(phosphate) level is 1.8 mg/dL. Which condition likely caused this serum
phosphorus level?
1. malnutrition
2. renal insufficiency
