Exam 19: Fluid

The nurse has administered 3% saline to a client with hyponatremia. Which of the following assessment data will require the most rapid response by the nurse?

The nurse is caring for a client who was admitted with diabetic ketoacidosis and has rapid, deep respirations. Which of the following actions should the nurse implement?

The nurse is teaching a client with renal failure about a low phosphate diet. Which of the following foods would the nurse teach the client to restrict?

The nurse is preparing a client for an intravenous infusion of 50% dextrose and the client asks the nurse why a peripherally inserted central catheter must be inserted. Which of the following explanations is the basis for the nurse's response?

The nurse obtains the following data when assessing a pregnant client with eclampsia who is receiving IV magnesium sulphate. Which of the following findings is most important to report to the health care provider immediately?

The home health nurse is visiting an older-adult client who has a low serum protein level. Which of the following assessment areas should the nurse assess?

The nurse is caring for a client postoperative after a thyroidectomy and the client states "I have a tingling feeling around my mouth." Which of the following data is priority for the nurse to assess?

The nurse is caring for a client who has the following arterial blood gas (ABG) results: pH 7.32, PaO₂ 88 mm Hg, PaCO₂ 37 mm Hg, and HCO₃ 16 mmol/L. Which of the following interpretations would the nurse document?

The nurse is teaching a client about spironolactone as a diuretic. Which statement by the client indicates that the teaching about this medication has been effective?

The nurse is caring for a client who has required prolonged mechanical ventilation and has the following arterial blood gas results: pH 7.48, PaO₂ 85 mm Hg, PaCO₂ 32 mm Hg, and HCO₃ 25 mmol/L. Which of the following interpretations would the nurse document?

The nurse is evaluating the fluid balance for a client admitted for hypovolemia associated with multiple draining wounds. Which of the following assessments is the most accurate to evaluate volume status in this client?

The nurse is caring for a client who has a low serum total protein level and is taking protein supplements. Which of the following data indicate that the client's condition has improved?

The nurse is caring for an alert and oriented older-adult client with a history of dehydration. Which of the following information should the home health nurse teach the client as to when to increase fluid intake?