Med-Surg: Fluid & Electrolyte Exam Test Questions
With 100% Verified Answers Graded A+
A nurse is caring for a client who had CKD. The nurse should monitor the client for which of
the following manifestations of fluid overload?
A. Flat Neck Veins
B. Weak Pulse
C. Increased Hematocrit
D. Increased Blood Pressure - -Answer: D.
The nurse should monitor the blood pressure of a client who has CKD. The client who is
experiencing fluid overload due to CKD will manifest an increase in blood pressure.
A nurse is caring for a client who has CKD. Which of the following actions should the nurse
take to manage fluid overload?
A. Weight the client periodically throughout the day.
B. Measures the client's output every 8 hours
C. Obtain the client's blood pressure at least every 4 hours
D. Limit client's oral fluid intake to meal times - -Answer: C.
The nurse should obtain the client's blood pressure at least every 4 hr. An increase in the
blood pressure can indicate fluid overload and hypertension which can lead to further
kidney damage. The nurse should monitor the blood pressure of a client who has CKD. The
client who
is experiencing fluid overload due to CKD will manifest an increase in blood pressure.
A nurse is reinforcing discharge teaching with a client who has undergone a transurethral
@MercyTrishia docs
,Med-Surg: Fluid & Electrolyte Exam Test Questions
With 100% Verified Answers Graded A+
resection of the prostate (TURP). Which of the following statements should the nurse
include in
the teaching?
A. increase fluid intake if you're in becomes blood tinged
B. take naproxen for discomfort.
C. sexual activity is permitted after two weeks.
D. urinary dribble and will resolve within 5 days. - -Answer : A.
Rational. The nurse should reinforce that strenuous activity, straining to the bowel
movement and coughing may cause the urine to become blood tinged. If this should occur
the client should stop the activity, rest, and increase fluid intake. If urine becomes
increasingly blood tinged or does not clear , or if the client has difficulty voiding, then he or
she should be instructed to notify the provider.
A nurse is reviewing the medical records of a group of clients. The nurse should identify
that
hemodialysis is appropriate for which of the following clients ?
A. A client who has minimal urine output following a drug overdose.
B. A client who has acute kidney disease and is responding to diuretics.
C. A client who took excessive laxatives and has a potassium level of 2.8mEq/L.
D. A client who has been vomiting and has metabolic alkalosis. - -Answer. A
Rational: the nurse should recognize that hemodialysis therapy is appropriate for clients
who have end stage kidney disease, drug overdose, hyperkalemia, fluid overdose or
metabolic acidosis.
@MercyTrishia docs
,Med-Surg: Fluid & Electrolyte Exam Test Questions
With 100% Verified Answers Graded A+
3. A nurse is observing a client who has acute alcohol intoxication. The nurse should
identify
that the client is at risk for which of the following acid-base imbalances?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - -Answer: C.
Common causes of metabolic acidosis include alcohol or ethanol intoxication,
diabetic ketoacidosis, hypoxia, kidney failure, diarrhea, and pancreatitis.
A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of
the following laboratory values should the nurse expect?
A. pH 7.31, HCO3- 22 mEq/L, PaCO2 50 mmHg
B. pH 7.48, HCO3- 23 mEq/L, PaCO2 25 mmHg
C. pH 7.32, HCO3- 18 mEq/L, PaCO2 40 mmHg
D. pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg - -Answer: D.
These laboratory values reflect metabolic alkalosis. The pH and the bicarbonate are greater
than the expected reference range, and the PaCO2 is within the expected reference range.
A nurse is caring for a client who is extremely anxious and is hyperventilating. The client's
@MercyTrishia docs
, Med-Surg: Fluid & Electrolyte Exam Test Questions
With 100% Verified Answers Graded A+
ABG results are pH 7.50, PaCO2 27 mmHg, and HCO3- 25 mEq/L. The nurse should identify
that the client has which of the following acid-base imbalances?
A. Respiratory acidosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Metabolic alkalosis - -Answer: C.
Because of rapid breathing, the client is exhaling excessive amounts of carbon dioxide. This
loss of carbon dioxide decreases the hydrogen ion level of the blood, which causes
the pH to increase and results in respiratory alkalosis.
A nurse is providing dietary teaching to a client who has kidney disease. Which of the
following food choices should the nurse include in the teaching as containing the lowest
amount
of magnesium?
A. Yogurt
B. Corn Flakes
C. Hard boiled egg
D. Leafy Greens - -Answer: C. Hard Boiled Egg
Rationale: Hard Boiled eggs contain as little as 5 mg of Magnesium, while yogurt contains
19mg, leafy greens contain 24 mg and corn flakes contain 11 mg of Magnesium.
@MercyTrishia docs
With 100% Verified Answers Graded A+
A nurse is caring for a client who had CKD. The nurse should monitor the client for which of
the following manifestations of fluid overload?
A. Flat Neck Veins
B. Weak Pulse
C. Increased Hematocrit
D. Increased Blood Pressure - -Answer: D.
The nurse should monitor the blood pressure of a client who has CKD. The client who is
experiencing fluid overload due to CKD will manifest an increase in blood pressure.
A nurse is caring for a client who has CKD. Which of the following actions should the nurse
take to manage fluid overload?
A. Weight the client periodically throughout the day.
B. Measures the client's output every 8 hours
C. Obtain the client's blood pressure at least every 4 hours
D. Limit client's oral fluid intake to meal times - -Answer: C.
The nurse should obtain the client's blood pressure at least every 4 hr. An increase in the
blood pressure can indicate fluid overload and hypertension which can lead to further
kidney damage. The nurse should monitor the blood pressure of a client who has CKD. The
client who
is experiencing fluid overload due to CKD will manifest an increase in blood pressure.
A nurse is reinforcing discharge teaching with a client who has undergone a transurethral
@MercyTrishia docs
,Med-Surg: Fluid & Electrolyte Exam Test Questions
With 100% Verified Answers Graded A+
resection of the prostate (TURP). Which of the following statements should the nurse
include in
the teaching?
A. increase fluid intake if you're in becomes blood tinged
B. take naproxen for discomfort.
C. sexual activity is permitted after two weeks.
D. urinary dribble and will resolve within 5 days. - -Answer : A.
Rational. The nurse should reinforce that strenuous activity, straining to the bowel
movement and coughing may cause the urine to become blood tinged. If this should occur
the client should stop the activity, rest, and increase fluid intake. If urine becomes
increasingly blood tinged or does not clear , or if the client has difficulty voiding, then he or
she should be instructed to notify the provider.
A nurse is reviewing the medical records of a group of clients. The nurse should identify
that
hemodialysis is appropriate for which of the following clients ?
A. A client who has minimal urine output following a drug overdose.
B. A client who has acute kidney disease and is responding to diuretics.
C. A client who took excessive laxatives and has a potassium level of 2.8mEq/L.
D. A client who has been vomiting and has metabolic alkalosis. - -Answer. A
Rational: the nurse should recognize that hemodialysis therapy is appropriate for clients
who have end stage kidney disease, drug overdose, hyperkalemia, fluid overdose or
metabolic acidosis.
@MercyTrishia docs
,Med-Surg: Fluid & Electrolyte Exam Test Questions
With 100% Verified Answers Graded A+
3. A nurse is observing a client who has acute alcohol intoxication. The nurse should
identify
that the client is at risk for which of the following acid-base imbalances?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - -Answer: C.
Common causes of metabolic acidosis include alcohol or ethanol intoxication,
diabetic ketoacidosis, hypoxia, kidney failure, diarrhea, and pancreatitis.
A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of
the following laboratory values should the nurse expect?
A. pH 7.31, HCO3- 22 mEq/L, PaCO2 50 mmHg
B. pH 7.48, HCO3- 23 mEq/L, PaCO2 25 mmHg
C. pH 7.32, HCO3- 18 mEq/L, PaCO2 40 mmHg
D. pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg - -Answer: D.
These laboratory values reflect metabolic alkalosis. The pH and the bicarbonate are greater
than the expected reference range, and the PaCO2 is within the expected reference range.
A nurse is caring for a client who is extremely anxious and is hyperventilating. The client's
@MercyTrishia docs
, Med-Surg: Fluid & Electrolyte Exam Test Questions
With 100% Verified Answers Graded A+
ABG results are pH 7.50, PaCO2 27 mmHg, and HCO3- 25 mEq/L. The nurse should identify
that the client has which of the following acid-base imbalances?
A. Respiratory acidosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Metabolic alkalosis - -Answer: C.
Because of rapid breathing, the client is exhaling excessive amounts of carbon dioxide. This
loss of carbon dioxide decreases the hydrogen ion level of the blood, which causes
the pH to increase and results in respiratory alkalosis.
A nurse is providing dietary teaching to a client who has kidney disease. Which of the
following food choices should the nurse include in the teaching as containing the lowest
amount
of magnesium?
A. Yogurt
B. Corn Flakes
C. Hard boiled egg
D. Leafy Greens - -Answer: C. Hard Boiled Egg
Rationale: Hard Boiled eggs contain as little as 5 mg of Magnesium, while yogurt contains
19mg, leafy greens contain 24 mg and corn flakes contain 11 mg of Magnesium.
@MercyTrishia docs
