Exam (elaborations) NURSING 204 (NURSING 204) NURSING 204 - Saunders - Fluid &Electrolyte.

NURSING 204 - Saunders - Fluid &Electrolyte/NURSING 204 - Saunders - Fluid &Electrolyte. The nurse who is caring for a client with kidney failure notes that the client is dyspnea, and crackles are heard on auscultation of the lungs. Which additional signs/symptoms should the nurse expect to note in this client? A. An Increase in Blood Pressure Rationale: Impaired cardiac or kidney function can result in fluid volume excess. Findings associated with fluid volume excess include cough, dyspnea, crackles, tachypnea, tachycardia, an elevated blood pressure, a bounding pulse, an elevated central venous pressure, weight gain, edema, neck and hand vein distention, an altered level of consciousness, and a decreased hematocrit level. The nurse is reviewing the health records of assigned clients. The nurse should plan care knowing that which client is at risk for a potassium deficit? A. Client Receiving NG suction Rationale: Potassium-rich gastrointestinal (GI) fluids are lost through GI suction, which places the client at risk for hypokalemia. The client with intestinal obstruction, Addison's disease, and metabolic acidosis is at risk for hyperkalemia.