Exam 42: Fluid, Electrolyte, and Acid-Base Balance

A nurse is preparing to start a blood transfusion. Which type of tubing will the nurse obtain?

A nurse is caring for a patient who is receiving peripheral intravenous (IV) therapy. When the nurse is flushing the patient's peripheral IV, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm to the touch. What is the nurse's initial action?

The nurse observes that the patient's calcium is elevated. When checking the phosphate level, what does the nurse expect to see?

Which assessment finding will the nurse expect for a patient with the following laboratory values: sodium 145 mEq/L, potassium 4.5 mEq/L, calcium 4.5 mg/dL?

A nurse has just received a bag of packed red blood cells (RBCs) for a patient. What is the longest time the nurse can let the blood infuse?

A nurse is discontinuing a patient's peripheral IV access. Which actions should the nurse take? (Select all that apply.)

Which assessments will alert the nurse that a patient's IV has infiltrated? (Select all that apply.)

A nurse is administering a blood transfusion. Which assessment finding will the nurse report immediately?

The nurse is caring for a diabetic patient in renal failure who is in metabolic acidosis. Which laboratory findings are consistent with metabolic acidosis?

A nurse is monitoring patients for fluid and electrolyte and acid-base imbalances. Match the body's regulators to the function it provides. -Angiotensin II

Which blood gas result will the nurse expect to observe in a patient with respiratory alkalosis?

The nurse receives the patient's most recent blood work results. Which laboratory value is of greatest concern?

A patient has dehydration. While planning care, the nurse considers that the majority of the patient's total water volume exists in with compartment?

A nurse is monitoring patients for fluid and electrolyte and acid-base imbalances. Match the body's regulators to the function it provides. -Atrial natriuretic peptide

A patient has 250 mL of a jejunostomy feeding with 30 mL of water before and after feeding and 200 mL of urine. Thirty minutes later the patient has 100 mL of diarrhea. At 1300 the patient receives 150 mL of blood and voids another 200 mL. Calculate the patient's intake. Record your answer as a whole number. _____ mL

The nurse is caring for a patient with hyperkalemia. Which body system assessment is the priority?

The nurse is evaluating the effectiveness of the intravenous fluid therapy in a patient with hypernatremia. Which finding indicates goal achievement?

Four patients arrive at the emergency department at the same time. Which patient will the nurse see first?

A nurse is assessing a patient who is receiving a blood transfusion and finds that the patient is anxiously fidgeting in bed. The patient is afebrile and dyspneic. The nurse auscultates crackles in both lung bases and sees jugular vein distention. On which transfusion complication will the nurse focus interventions?

The health care provider has ordered a hypotonic intravenous (IV) solution to be administered. Which IV bag will the nurse prepare?