A nurse is assessing a client who has hyperkalemia. Which of the following findings should the
nurse expect?
A. Decreased muscle strength
B. Decreased gastric motility
C. Increased heart rate
D. Increased blood pressure - Answers A. Decreased muscle strength
A nurse is reviewing the laboratory data on four clients. Which of the following serum laboratory
values should the nurse expect off for the client who is experiencing 2+ pitting ankle edema?
A. Sodium 138 mEq/L
B. Hematocrit 34%
C. BUN 22 mg/dL
D. Protein 9 g/L - Answers B. Hematocrit 34%
A nurse is planning dietary teaching for a client who has hypermagnesemia. Which of the
following food choices contains the most magnesium and is, therefore, a food the nurse should
plan to instruct the client to avoid?
A. Hard-boiled eggs
B. Cheddar cheese
C. Raw rhubarb
D. Raw spinach - Answers D. Raw spinach
While reviewing a client's laboratory results, a nurse notes a serum calcium level of 8.0 mg/dL.
Which of the following actions should the nurse take?A. Implement seizure precautions
B. Administer phosphate
C. Initiate diuretic therapy
D. Prepare the client for hemodialysis - Answers A. Implement seizure precautions
A nurse is planning care for a client who has experienced excessive fluid loss. Which of the
following interventions should the nurse include in the plan of care? (Select all that apply.)
A. Administer IV fluids evenly over 24hr
,B. Provide the client with a salt substitute
C. Assess for pitting edema
D. Encourage the client to rise slowly when standing up
E. Weigh the client every 8hr - Answers A. Administer IV fluids evenly over 24hr
D. Encourage the client to rise slowly when standing up
E. Weigh the client every 8hr
What is the passive solute movement across a permeable membrane from high to low until
equal going downhill?
A. Filtration
B. Osmosis
C. Diffusion
D. Active - Answers C. Diffusion
What is the pushing force out into the interstitial space?
A. Filtration
B. Colloid osmotic pressure
C. Hydrostatic pressure
D. Capillary hydrostatic pressure - Answers D. Capillary hydrostatic pressure
What is the pulling force into the capillary area?
A. Filtration
B. Colloid osmotic pressure
C. Hydrostatic pressure
D. Capillary hydrostatic pressure - Answers B. Colloid osmotic pressure
What is the movement of water only through a semipermeable cell membrane from an area of
less concentration of particles to an area of greater?
A. Osmolarity
B. Diffusion
, C. Active
D. Osmosis - Answers D. Osmosis
The nurse has been assigned to care for the following patients. Which patient is at the highest
risk for a fluid and electrolyte imbalance?
a) A 45-year-old man who had a laparoscopic appendectomy 24 hours ago being advanced to a
regular diet.
b) A 79-year-old man admitted with a diagnosis of pneumonia.
c) A 66-year-old woman who had an open cholecystectomy with a T-tube placed that is draining
125 mL of bile per shift.
d) An 82-year-old woman who receives all nutrition via tube feedings. Her medications include
carvedilol (Coreg) and torsemide (Demadex). - Answers d) An 82-year-old woman who receives
all nutrition via tube feedings. Her medications include carvedilol (Coreg) and torsemide
(Demadex).
The nurse is caring for a patient who was admitted with fluid volume excess (FVE). Which of the
following nursing assessments should the nurse include in the ongoing monitoring of the
patient? Select all that apply.
a) Intake and output, urine volume, and color
b) Blood pressure, heart rate, and rhythm
c) Strength testing for muscle wasting
d) Nutritional status and diet
e) Skin assessment for edema and turgor - Answers a) Intake and output, urine volume, and
color
b) Blood pressure, heart rate, and rhythm
e) Skin assessment for edema and turgor
The nurse is caring for a patient diagnosed with hyperchloremia. Signs and symptoms of
hyperchloremia include which of the following? Select all that apply.
a) Hypotension
b) Tachypnea
c) Lethargy