Exam 38: Fluids, Electrolytes, Acidbase Balance

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The nurse is caring for a client with gastroenteritis who has been vomiting for 48 hours. A family member of the client asks the nurse, "Why is he breathing that way?" What is the nurse's most accurate response after explaining the meaning of pH?

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Which of the following older clients' needs to increase the daily fluid intake? One who typically drinks (assume three meals per day):

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Identify the appropriate interventions for a client with hypovolemia. Select all that apply.

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The nurse is providing care to the adult client in the acute care center. When the nurse began to assess the client's blood pressure, the client's hand began to "cramp" and involuntarily flex. What is the possible answer to this phenomenon?

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The nurse is providing care for the adult male client with a hematocrit of 30. Which condition would accurately explain this finding?

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When assisting with bedside central venous catheter (CVC) placement, which nursing intervention is appropriate? Select all that apply.

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After morning care, the nurse lowered the height of the IV container infusing via gravity flow, at the client's request. What is the nurse's next best action?

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The nurse is providing care to the client with hypokalemia. Which of the following disease conditions may have contributed to the hypokalemia?

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A client's vital signs prior to a blood transfusion were: temperature (T) = 97.6°F (36.4°C); pulse (P) = 72 beats/min; respirations (R) = 22 breaths/min; blood pressure (BP) = 132/76 mm Hg. Twenty minutes after the transfusion was begun, the client began complaining of feeling "itchy and hot." The nurse discovered a rash on the client's trunk. Vital signs were T = 100.8°F (38.2°C); P = 82 beats/min; R = 24 breaths/min; BP = 146/88 mm Hg. Based on these findings, what is the most appropriate initial intervention?

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