Exam 19: Fluid

The nurse is caring for a client with advanced lung cancer who has been admitted to the emergency department with urinary retention caused by renal calculi. Which of the following laboratory values will require the most immediate action by the nurse?

The nurse is caring for a client with hypercalcemia. Which of the following actions would be included in the client's nursing care plan?

Which assessment finding about a client who has a serum calcium level of 1.58 mmol/L is most important for the nurse to immediately report to the health care provider?

The nurse is caring for a client who is postoperative and has been receiving nasogastric suction for 3 days. The client's serum sodium level is 123 mmol/L. Which of the following prescribed therapies would the nurse implement? (Select all that apply.)

The nurse is caring for a client with a CVAD who suddenly develops chest pain, hypotension, and tachycardia. Which of the following positions should the nurse immediately put the client in?

The nurse is caring for a client admitted with hyponatremia. Which of the following actions should the nurse anticipate implementing?

The nurse is caring for a client who has been receiving diuretic therapy and is admitted to the emergency department with a serum potassium level of 3.1 mmol/L. Of the following medications that the client has been taking at home, which of the followingwouldbe of most concern to the nurse?

The nurse is caring for a client who is receiving iso-osmolar continuous tube feedings who has developed nausea, vomiting, and tachycardia. Which of the following laboratory results is most important for the nurse to report to the health care provider?

The nurse is caring for a client with hyperkalemia and is interpreting the electrocardiogram (ECG) report. Which of the following ECG changes would the nurse expect to assess in this client?

The nurse is caring for a client recently admitted with small cell carcinoma of the lung and the syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following assessments should the nurse carefully monitor?

The nurse is caring for a client in the outpatient clinic who has a decreased serum magnesium level. Which of the following assessment areas should the nurse include in the health history?

The nurse is caring for a client who is taking a potassium-wasting diuretic for treatment of hypertension. Which of the following assessment data would the nurse include in the teaching plan?

The nurse is assessing a client with increased extracellular fluid (ECF) osmolality. Which of the following assessment areas is the priority assessment for the nurse to obtain?

The nurse is caring for a client who is receiving 3% NaCl solution for correction of hyponatremia. During administration of the solution, which of the following assessments is a priority for the nurse to monitor?

The nurse is caring for a client with renal failure and has been taking magnesium hydroxide suspension at home for indigestion. The client is somnolent and has decreased deep tendon reflexes. Which of the following actions should the nurse take first?

The nurse is caring for a client with severe hypokalemia and is preparing to administer intravenous potassium chloride (KCl) 40 mmol as prescribed by the health care provider. Which of the following actions should the nurse take?

The nurse is caring for a client with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern to the nurse?

Which of the following actions would the nurse include in the plan of care for a client who has a central venous access device (CVAD)?

The nurse is caring for a postoperative client who is receiving nasogastric suction and is anxious with incisional pain. The client's respiratory rate is 32 breaths/minute and the arterial blood gases (ABGs) indicate respiratory alkalosis. Which of thefollowing actions should the nurse take first?

The nurse is caring for a client who has been hospitalized for 2 days and is receiving normal saline IV at 100 mL/hour, has a nasogastric tube to low suction, and is NPO. Which of the following assessment findings by the nurse is the priority to reporttothehealth care provider?