Chapter 54, Fluids, Electrolytes, and Parenteral Therapy TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

1. A client who is prescribed digoxin is receiving electrolyte replacement therapy. The nurse would monitor the client for signs of digoxin toxicity if which electrolyte is administered? A) Sodium B) Potassium C) Magnesium D) Phosphorous Answer: B Rationale: The nurse should monitor a client taking digoxin for signs of digoxin toxicity if potassium is being given. The use of magnesium and digoxin can result in heart block. Sodium is necessary for normal heart action. The use of phosphorous with digoxin is not noted to create adverse reactions. Question format: Multiple Choice Chapter: 54 Learning Objective: 6 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 755, Intracellular Electrolytes 2. A nurse is preparing to administer albumin intravenously to a client. The nurse anticipates noting which reason in the medical record of the client? A) Loss of fluids due to severe dehydration B) Poor wound-healing abilities with a high risk of infection. C) Experienced a severe loss of only plasma D) Experienced hypovolemic shock due to trauma Answer: D Rationale: Plasma protein fractions are used in clients to treat hypovolemic shock that occurs as a result of burns, trauma, surgery, and infections or in conditions where shock is not currently present but likely to occur. It is also used in the case of hypoproteinemia, as might be seen in clients with nephrotic syndrome and hepatic cirrhosis, as well as other diseases or disorders. When a client loses a lot of blood volume due to severe hemorrhage or when a client is experiencing a condition in which plasma alone is lost, the client can be administered plasma intravenously or albumin, which can also quickly restore the volume in most situations. Protein substrates like amino acid preparations are administered to clients with poor wound-healing abilities. Clients with severe dehydration are often given basic IV fluids with electrolytes. Question format: Multiple Choice Chapter: 54