Test Bank: Introduction to Medical-Surgical Nursing 6th Edition
by Linton - Ch. 1-6, 9780323222082, with Rationales
Which of the following does chloride not play role in?
a. digestion
b. acid-base balance
c. fluid balance
d. bone health - ANSWER:d. bone health
a patient has a chloride level of 70 mEq/L. which condition below can cause this type of level?
a. none, this is a normal chloride level
b. cystic fibrosis
c. metabolic acidosis
d. hypertonic fluids - ANSWER:b. cystic fibrosis
a patient is presenting with metabolic alkalosis. lab results are back and the patient's bicarb level is 53
mEq/L. What other lab result would correlate with this finding.
a. chloride 73 mEq/L
b. Chloride 190 mEq/L
c. Potassium 6.5 mEq/L
d. Chloride 100 mEq/L - ANSWER:a.chloride 73 mEq/L
You're assessing a patient's morning lab work. The patient has a chloride level of 98 mEq/L. The nurse
interprets this findings as?
a. hypochloremia
b. normal
c. hyperchloremia - ANSWER:b. normal
Which patient below is at risk for developing hyperchloremia?
a. a 25 year old with cystic fibrosis.
b. a 55 year old post-op from abdominal surgery that has a nasogastric tube with continuous
suctioning.
c. diuretics for the treatment of heart failure.
d. a 53 year old who received several large fluid boluses of normal saline. - ANSWER:d. a 53 year old
who received several large fluid boluses of normal saline
True or false: when metabolic acidosis occurs, the bicarb level is decreased and hyperchloremia can
develop. - ANSWER:true
Lactate ringer's can be prescribed to treat?
a. hypochloremia
b. hyperchloremia
c. metabolic alkalosis
d. none, this IV fluid is not typically prescribed for chloride imbalance disorders. - ANSWER:b.
hyperchloremia
a patient has a chloride level of 190 mEq/L. Which foods below should the patient avoid? select all
that apply:
a. carrot
b. canned beans
c. table salt
d. tomato juice
e. olives
f. chicken - ANSWER:b.canned beans, c. table salt, d. tomato juice, e. olives
, a patient has a chloride level of 63mEq/L. The patient is experiencing lethargy, confusion, spasms of
muscles, and has a blood pressure of 90/54. What other lab finding below correlates with these
findings.
a. potassium 4 mEq/L
b. potassium 8 mEq/L
c. sodium 115 mEq/L
d. sodium 190 mEq/L - ANSWER:c. sodium 115 mEq/L
which type of IV fluid below can be prescribed to treat a patient with a chloride level of 69 mEq/L?
a. sodium bicarbonate
b. normal saline
c. lactated ringer's
d. 5% saline - ANSWER:B. normal saline
Magnesium is absorbed by what system of the body?
a. GI
b. Hepatic
c. Renal
d. Lymphatic - ANSWER:a. GI
a patient has a magnesium level of 1.3 mg/dL. Which of the following is not a sign or symptom of this
condition.
a. hypertension
b. torsades de pointes
c. positive trousseau's sign
d. absent deep tendon reflexes - ANSWER:d. absent deep tendon reflexes
Which of the following patients is most at risk for hypermagnesemia?
a. a patient with alcoholism
b. a patient taking a proton-pump inhibitor
c. a patient suffering from crohn's disease
d. a patient with magnesium level of 0.6 mg/dL receiving IV magnesium sulfate - ANSWER:d. a patient
with magnesium level of 0.6 mg/dL receiving IV magnesium sulfate
stimulation of the facial nerve via the masseter muscle causes twitching of the nose/lips in
hypocalcemia is known as
a. trousseau's sign
b. chvosteck's sign
c. homan's sign
d. goodell's sign - ANSWER:b. Chvosteck's sign
a patient has a calcium level of 7.2 mg/dL. What sign below is indicative of this lab value?
a. none, this is a normal calcium level
b. shortened ST segment
c. hypoactive bowel sounds
d. prolonged QT interval on the EKG - ANSWER:d. prolonged QT interval on the EKG
an EKG shows a shortened QT interval. Which lab value below would be indicative of this changes?
a. calcium level of 8 mg/dL
b. calcium level of 12mg/dL
c. calcium level of 8.7 mg/dL
d. calcium level of 9.2 mg/dL - ANSWER:b. calcium level of 12 mg/dL
which patient below is considered hypernatremic?
a. a patient with a sodium level of 155 mEq/L
b. a patient with a sodium level of 145 mEq/L
c. a patient with a sodium level of 120 mEq/L
by Linton - Ch. 1-6, 9780323222082, with Rationales
Which of the following does chloride not play role in?
a. digestion
b. acid-base balance
c. fluid balance
d. bone health - ANSWER:d. bone health
a patient has a chloride level of 70 mEq/L. which condition below can cause this type of level?
a. none, this is a normal chloride level
b. cystic fibrosis
c. metabolic acidosis
d. hypertonic fluids - ANSWER:b. cystic fibrosis
a patient is presenting with metabolic alkalosis. lab results are back and the patient's bicarb level is 53
mEq/L. What other lab result would correlate with this finding.
a. chloride 73 mEq/L
b. Chloride 190 mEq/L
c. Potassium 6.5 mEq/L
d. Chloride 100 mEq/L - ANSWER:a.chloride 73 mEq/L
You're assessing a patient's morning lab work. The patient has a chloride level of 98 mEq/L. The nurse
interprets this findings as?
a. hypochloremia
b. normal
c. hyperchloremia - ANSWER:b. normal
Which patient below is at risk for developing hyperchloremia?
a. a 25 year old with cystic fibrosis.
b. a 55 year old post-op from abdominal surgery that has a nasogastric tube with continuous
suctioning.
c. diuretics for the treatment of heart failure.
d. a 53 year old who received several large fluid boluses of normal saline. - ANSWER:d. a 53 year old
who received several large fluid boluses of normal saline
True or false: when metabolic acidosis occurs, the bicarb level is decreased and hyperchloremia can
develop. - ANSWER:true
Lactate ringer's can be prescribed to treat?
a. hypochloremia
b. hyperchloremia
c. metabolic alkalosis
d. none, this IV fluid is not typically prescribed for chloride imbalance disorders. - ANSWER:b.
hyperchloremia
a patient has a chloride level of 190 mEq/L. Which foods below should the patient avoid? select all
that apply:
a. carrot
b. canned beans
c. table salt
d. tomato juice
e. olives
f. chicken - ANSWER:b.canned beans, c. table salt, d. tomato juice, e. olives
, a patient has a chloride level of 63mEq/L. The patient is experiencing lethargy, confusion, spasms of
muscles, and has a blood pressure of 90/54. What other lab finding below correlates with these
findings.
a. potassium 4 mEq/L
b. potassium 8 mEq/L
c. sodium 115 mEq/L
d. sodium 190 mEq/L - ANSWER:c. sodium 115 mEq/L
which type of IV fluid below can be prescribed to treat a patient with a chloride level of 69 mEq/L?
a. sodium bicarbonate
b. normal saline
c. lactated ringer's
d. 5% saline - ANSWER:B. normal saline
Magnesium is absorbed by what system of the body?
a. GI
b. Hepatic
c. Renal
d. Lymphatic - ANSWER:a. GI
a patient has a magnesium level of 1.3 mg/dL. Which of the following is not a sign or symptom of this
condition.
a. hypertension
b. torsades de pointes
c. positive trousseau's sign
d. absent deep tendon reflexes - ANSWER:d. absent deep tendon reflexes
Which of the following patients is most at risk for hypermagnesemia?
a. a patient with alcoholism
b. a patient taking a proton-pump inhibitor
c. a patient suffering from crohn's disease
d. a patient with magnesium level of 0.6 mg/dL receiving IV magnesium sulfate - ANSWER:d. a patient
with magnesium level of 0.6 mg/dL receiving IV magnesium sulfate
stimulation of the facial nerve via the masseter muscle causes twitching of the nose/lips in
hypocalcemia is known as
a. trousseau's sign
b. chvosteck's sign
c. homan's sign
d. goodell's sign - ANSWER:b. Chvosteck's sign
a patient has a calcium level of 7.2 mg/dL. What sign below is indicative of this lab value?
a. none, this is a normal calcium level
b. shortened ST segment
c. hypoactive bowel sounds
d. prolonged QT interval on the EKG - ANSWER:d. prolonged QT interval on the EKG
an EKG shows a shortened QT interval. Which lab value below would be indicative of this changes?
a. calcium level of 8 mg/dL
b. calcium level of 12mg/dL
c. calcium level of 8.7 mg/dL
d. calcium level of 9.2 mg/dL - ANSWER:b. calcium level of 12 mg/dL
which patient below is considered hypernatremic?
a. a patient with a sodium level of 155 mEq/L
b. a patient with a sodium level of 145 mEq/L
c. a patient with a sodium level of 120 mEq/L
