Exam 6: Nursing Care of Patients With Fluid, Electrolytes, and Acid-Base Imbalances

Which serum pH can the nurse expect to see in a patient with chronic obstructive pulmonary disease (COPD)?

An older patient is admitted for treatment of fluid volume excess. For which serious respiratory complication of fluid volume excess should the nurse assess this patient?

An older adult with gastroenteritis is disoriented and weak and has the following laboratory test results: Hematocrit (Hct) 56% (normal 40%-51%) Blood urea nitrogen (BUN) 32 mg/dL (normal 6-20 mg/dL) Which nursing diagnosis should the nurse select for this patient?

The nurse is caring for a group of patients. Which patient is at highest risk for hyponatremia?

The nurse is caring for a group of patients. Which patient is at highest risk for developing metabolic alkalosis?

A patient with dehydration is prescribed 1 L of 0.9% normal saline intravenously to run over 8 hours. At what rate should the nurse set the infusion pump? Enter the numeral only.

The nurse is concerned that an older patient is at risk for dehydration. What reduced function did the nurse assess in this patient?

The nurse is planning care for a patient with a fluid volume excess and a serum sodium level of 125 mg/dL. Which interventions should the nurse include in this patient's plan of care? (Select all that apply.)

The nurse is caring for a patient with dehydration. The patient asks the nurse about the cause. Which does the nurse identify as the most likely cause?

While assessing an older adult patient with fluid excess, the nurse notes the following: T = 98.6°F, P = 92, R = 18, BP = 166/88 mm Hg, bilateral crackles, oxygen saturation = 95%. Which action should the nurse take first?

An older adult patient has an IV infusion of 0.45% normal saline infusing at 150 mL/hr. Which assessment finding should cause the nurse to be most concerned?