NUR 303 - Fluid & Electrolytes Questions With Complete
Solutions
A client at risk for continuing hyperkalemia states that she is
upset because she cannot eat fruit every day. Which response by
the nurse is best?
a. "You are correct. Fruit is usually very high in potassium."
b. "If you cook the fruit first, that lowers the potassium."
c. "Berries, cherries, apples, and peaches are low in potassium."
d. "Fresh fruit is higher in potassium than dried fruit." correct
answers C. "Berries, cherries, apples, and peaches are low in
potassium."
A client has a calcium level of 14 mg/dL. Which intervention is
the priority?
a. Forcing fluids to 2 L/day
b. Placing the client on a cardiac monitor
c. Assessing for Chvostek's sign every 2 hours
d. Administering IV calcium chloride correct answers B.
placing the client on a cardiac monitor
A client has a history of hypocalcemia. What intervention is
most important for the nurse to add to this client's care plan?
a. Push fluids to 2 L/day.
b. Strain all urine output.
c. Use nonslip footwear to get out of bed.
d. Position the client supine twice a day. correct answers C. use
nonslip footwear to get out of bed
A client has a history of hypothyroidism. Which laboratory
value is the nurse most concerned about?
a. Na+ 146 mEq/L
b. K+ 3.6 mEq/L
c. Ca2+ 8.2 mg/dL
, d. Mg2+ 1.1 mEq/L correct answers C. Ca 8.2
A client has been diagnosed with overhydration and is confused.
Which intervention does the nurse include in the client's plan of
care to relieve the confusion?
a. Measuring intake and output every shift
b. Slowing the IV flow rate to 50 mL/hr
c. Administering diuretic agents as prescribed
d. Placing the client in Trendelenburg position correct answers
C. administering diuretic agents as prescribed
A client has been taught to increase potassium in the diet. What
dietary meal selection indicates to the nurse that teaching has
been effective?
a. Toasted English muffin with butter and blueberry jam, and tea
with sugar
b. Two scrambled eggs, a slice of white toast, and a cup of
strawberries
c. Sausage, one slice of whole wheat toast, cup of raisins, and a
glass of milk
d. Bowl of oatmeal with brown sugar, cup of sliced peaches, and
coffee correct answers C. sausage, one slice of whole wheat
toast, 1/2 cup raisins, and a glass of milk
A client has been taught to restrict dietary sodium. Which food
selection by the client indicates to the nurse that teaching has
been effective?
a. Chinese take-out, including steamed rice
b. A grilled cheese sandwich with tomato soup
c. Slices of ham and cheese on whole grain crackers
d. A chicken leg, one slice of bread with butter, and steamed
carrots correct answers D. a chicken leg, one slice of berad with
butter, and steamed carrots
Solutions
A client at risk for continuing hyperkalemia states that she is
upset because she cannot eat fruit every day. Which response by
the nurse is best?
a. "You are correct. Fruit is usually very high in potassium."
b. "If you cook the fruit first, that lowers the potassium."
c. "Berries, cherries, apples, and peaches are low in potassium."
d. "Fresh fruit is higher in potassium than dried fruit." correct
answers C. "Berries, cherries, apples, and peaches are low in
potassium."
A client has a calcium level of 14 mg/dL. Which intervention is
the priority?
a. Forcing fluids to 2 L/day
b. Placing the client on a cardiac monitor
c. Assessing for Chvostek's sign every 2 hours
d. Administering IV calcium chloride correct answers B.
placing the client on a cardiac monitor
A client has a history of hypocalcemia. What intervention is
most important for the nurse to add to this client's care plan?
a. Push fluids to 2 L/day.
b. Strain all urine output.
c. Use nonslip footwear to get out of bed.
d. Position the client supine twice a day. correct answers C. use
nonslip footwear to get out of bed
A client has a history of hypothyroidism. Which laboratory
value is the nurse most concerned about?
a. Na+ 146 mEq/L
b. K+ 3.6 mEq/L
c. Ca2+ 8.2 mg/dL
, d. Mg2+ 1.1 mEq/L correct answers C. Ca 8.2
A client has been diagnosed with overhydration and is confused.
Which intervention does the nurse include in the client's plan of
care to relieve the confusion?
a. Measuring intake and output every shift
b. Slowing the IV flow rate to 50 mL/hr
c. Administering diuretic agents as prescribed
d. Placing the client in Trendelenburg position correct answers
C. administering diuretic agents as prescribed
A client has been taught to increase potassium in the diet. What
dietary meal selection indicates to the nurse that teaching has
been effective?
a. Toasted English muffin with butter and blueberry jam, and tea
with sugar
b. Two scrambled eggs, a slice of white toast, and a cup of
strawberries
c. Sausage, one slice of whole wheat toast, cup of raisins, and a
glass of milk
d. Bowl of oatmeal with brown sugar, cup of sliced peaches, and
coffee correct answers C. sausage, one slice of whole wheat
toast, 1/2 cup raisins, and a glass of milk
A client has been taught to restrict dietary sodium. Which food
selection by the client indicates to the nurse that teaching has
been effective?
a. Chinese take-out, including steamed rice
b. A grilled cheese sandwich with tomato soup
c. Slices of ham and cheese on whole grain crackers
d. A chicken leg, one slice of bread with butter, and steamed
carrots correct answers D. a chicken leg, one slice of berad with
butter, and steamed carrots
