Nur 360 fluid prep U
Air embolism is a potential complication of IV therapy. The nurse should be
alert to which clinical manifestation associated with air embolism? - ANSW
Chest Pain - Manifestations of air embolism include dyspnea and cyanosis;
hypotension; weak, rapid pulse; loss of consciousness; and chest,
shoulder, and low back pain. Jaundice is not associated with air embolism.
A patient is admitted with severe vomiting for 24 hours as well as weakness
and "feeling exhausted." The nurse observes flat T waves and ST-segment
depression on the electrocardiogram. Which potassium level does the
nurse observe when the laboratory studies are complete? - ANSW 2.5
mEq/L
The nurse is caring for a patient with diabetes type I who is having severe
vomiting and diarrhea.
What condition that exhibits blood values with a low pH and a low plasma
bicarbonate concentration should the nurse assess for? - ANSW metabolic
acidosis
The physician has prescribed a hypotonic IV solution for a patient. Which
IV solution should the nurse administer? - ANSW 0.45% sodium chloride
A client has been admitted to the hospital unit with signs and symptoms of
hypovolemia; however, the client has not lost weight. The client exhibits a
localized enlargement of her abdomen. What condition could the client be
presenting? - ANSW Third-spacing
Which of the following is a clinical manifestation of fluid volume excess
(FVE)? Select all that apply. - ANSW Clinical manifestations of FVE
include distended neck veins, crackles in the lung fields, shortness of
breath, increased blood pressure, and tachycardia.
A client with hypervolemia asks the nurse by what mechanism the sodium-
potassium pump willi move the excess body fluid. What is the nurse's best
answer? - ANSW Active transport
, The nurse assesses a client who is diagnosed with bulimia nervosa and at
risk for alterations in both fluid and electrolyte balance. - ANSW During the
assessment, the nurse focuses on monitoring the client for hypokalemia as
evidence by cardiac arrhythmia
Which set of arterial blood gas (ABG) results requires further investigation?
- ANSW pH 7.49, PaCO2 30 mm Hg, Pa02 89 mm Hg, and HCOz* 18
mEq/L
Fluid and electrolyte balance is maintained through the process of
translocation. What specific process allows water to pass through a
membrane from a dilute to a more concentrated area? - ANSW osmosis
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? - ANSW Confusion
The weight of a client with congestive heart failure is monitored daily and
entered into the medical record. In a 24-hour period, the client's weight
increased by 2 lb. How much fluid is this client retaining? - ANSW 1 L
A client with an intravenous infusion is rubbing his arm. The nurse
assesses the site and decides to discontinue the current infusion because
of concern that the client has developed phlebitis.
Which of the following clinical manifestations would the nurse assess with
phlebitis? Select all that apply. - ANSW Tender area around the insertion
site, Reddened area along the path of the vein
A client being treated for a chronic illness has a serum potassium level of
2.9 mEq/L (2.9 mmol/L).
Which assessment finding(s) will the nurse expect to assess in the client?
Select all that apply. - ANSW Anorexia
Paresthesias
Muscle weakness
Leg cramps
A client hospitalized for treatment of a pulmonary embolism develops
respiratory alkalosis. Which clinical findings commonly accompany
respiratory alkalosis? - ANSW Light-headedness or paresthesia
Air embolism is a potential complication of IV therapy. The nurse should be
alert to which clinical manifestation associated with air embolism? - ANSW
Chest Pain - Manifestations of air embolism include dyspnea and cyanosis;
hypotension; weak, rapid pulse; loss of consciousness; and chest,
shoulder, and low back pain. Jaundice is not associated with air embolism.
A patient is admitted with severe vomiting for 24 hours as well as weakness
and "feeling exhausted." The nurse observes flat T waves and ST-segment
depression on the electrocardiogram. Which potassium level does the
nurse observe when the laboratory studies are complete? - ANSW 2.5
mEq/L
The nurse is caring for a patient with diabetes type I who is having severe
vomiting and diarrhea.
What condition that exhibits blood values with a low pH and a low plasma
bicarbonate concentration should the nurse assess for? - ANSW metabolic
acidosis
The physician has prescribed a hypotonic IV solution for a patient. Which
IV solution should the nurse administer? - ANSW 0.45% sodium chloride
A client has been admitted to the hospital unit with signs and symptoms of
hypovolemia; however, the client has not lost weight. The client exhibits a
localized enlargement of her abdomen. What condition could the client be
presenting? - ANSW Third-spacing
Which of the following is a clinical manifestation of fluid volume excess
(FVE)? Select all that apply. - ANSW Clinical manifestations of FVE
include distended neck veins, crackles in the lung fields, shortness of
breath, increased blood pressure, and tachycardia.
A client with hypervolemia asks the nurse by what mechanism the sodium-
potassium pump willi move the excess body fluid. What is the nurse's best
answer? - ANSW Active transport
, The nurse assesses a client who is diagnosed with bulimia nervosa and at
risk for alterations in both fluid and electrolyte balance. - ANSW During the
assessment, the nurse focuses on monitoring the client for hypokalemia as
evidence by cardiac arrhythmia
Which set of arterial blood gas (ABG) results requires further investigation?
- ANSW pH 7.49, PaCO2 30 mm Hg, Pa02 89 mm Hg, and HCOz* 18
mEq/L
Fluid and electrolyte balance is maintained through the process of
translocation. What specific process allows water to pass through a
membrane from a dilute to a more concentrated area? - ANSW osmosis
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? - ANSW Confusion
The weight of a client with congestive heart failure is monitored daily and
entered into the medical record. In a 24-hour period, the client's weight
increased by 2 lb. How much fluid is this client retaining? - ANSW 1 L
A client with an intravenous infusion is rubbing his arm. The nurse
assesses the site and decides to discontinue the current infusion because
of concern that the client has developed phlebitis.
Which of the following clinical manifestations would the nurse assess with
phlebitis? Select all that apply. - ANSW Tender area around the insertion
site, Reddened area along the path of the vein
A client being treated for a chronic illness has a serum potassium level of
2.9 mEq/L (2.9 mmol/L).
Which assessment finding(s) will the nurse expect to assess in the client?
Select all that apply. - ANSW Anorexia
Paresthesias
Muscle weakness
Leg cramps
A client hospitalized for treatment of a pulmonary embolism develops
respiratory alkalosis. Which clinical findings commonly accompany
respiratory alkalosis? - ANSW Light-headedness or paresthesia
