Exam 41: Fluid, electrolyte, and Acid-Base Balance

A chemotherapy patient has gained 5 pounds in 2 days.Which assessment question by the nurse is most appropriate?

A patient informs the nurse that he has the type of diabetes that does not require insulin.The nurse advises the patient to make which dietary change?

Which of the following assessments would indicate that a patient's IV has infiltrated?

A patient was admitted for a bowel obstruction and has had a nasogastric tube set to low intermittent suction for the past 3 days.The patient's respiratory rate has decreased to 12 breaths per minute.The nurse would expect the patient to have which of the following arterial blood gas values?

The nurse selects appropriate tubing for a blood transfusion by ensuring that the tubing has

A nurse is preparing to administer a blood transfusion.Which assessment finding would the nurse report immediately?

A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother's purse.The nurse knows that the child is at greatest risk for which acid-base imbalance?

A nurse is caring for a patient who is in hypertensive crisis.When the nurse is flushing the patient's peripheral IV,the patient complains of pain.Upon assessment,the nurse notices a red streak that is warm to the touch.What is the nurse's initial action?

Which assessment finding would 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?

Which patient is most at risk for sensible water loss?

The nurse is caring for a patient with hyperkalemia.Which body system would be most important for the nurse plan to monitor closely?

When selecting a site to insert an intravenous catheter on an adult,the nurse should

The nurse understands that administering a hypertonic solution to a patient will shift water from the _____ to the _____ space.

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.The nurse recognizes that the patient is experiencing which transfusion complication?

The nurse would select the dorsal venous plexus of the foot as an IV site for which patient?

The process of passively moving water from an area of lower particle concentration to an area of higher particle concentration is known as

The physician asks the nurse to monitor the fluid volume status of a congestive heart failure patient and a patient at risk for clinical dehydration.What is the most effective nursing intervention for monitoring both of these patients?

The nurse knows that edema in a patient who has venous congestion from right heart failure is facilitated by an imbalance with regard to _____ pressure.

The nurse would expect a patient with increased levels of serum calcium to also have _____ levels.

Which laboratory value should the nurse examine when evaluating uncompensated respiratory alkalosis?