Exam 6: Fluids and Electrolytes

The nurse is caring for a client following hemodialysis.The nursing assessment reveals the client is tachycardic; has pale,cool skin; and has a decreased urine output.Based on this data,the nurse determines that the client has not met which expected outcome associated with hemodialysis?

The nurse on a medical-surgical unit completes the shift assessment for a client diagnosed with a multisystem fluid volume deficit and documents that the client is experiencing the following symptoms: tachycardia; pale,cool skin; and a decreased urine output.The nurse anticipates which as the cause of the client's current symptoms?

The nurse is instructing a client with heart failure about a prescribed sodium-restricted diet.Which client statement indicates that additional teaching is required?

The nurse receives shift report on a pediatric medical-surgical unit.The nurse has been assigned four clients for the shift.Which client does the nurse plan to assessment first based on the increased risk for dehydration?

A young school-age client is in the hospital with acute renal failure following a streptococcus infection.The parents are Spanish-speaking and speak little English.The parents,through an interpreter,ask the nurse what mistake they made that caused the child to be so sick.Which response by the nurse is the most appropriate?

The nurse is caring for a client with congestive heart failure who is admitted to the medical-surgical unit with acute hypokalemia.Which medication on the client's medication administration record may have contributed to the client's current hypokalemic state?

The nurse is concerned that a client with a fluid imbalance is at risk for an alteration in perfusion.Which assessment data indicates that the client is experiencing an alteration in perfusion? Select all that apply.

A home health nurse is providing care for a client with congestive heart failure.The client is taking furosemide (Lasix).The nurse reviews the client's most recent serum potassium,which was 3.4 mEq/L.Based on this data,which food will the nurse encourage the client to consume?

The nurse is caring for a client with chronic renal disease who is pale and experiencing fatigue.The nurse attributes these symptoms to anemia secondary to chronic renal disease.The client's spouse asks why the client is anemic.Which response by the nurse is the most appropriate?

The nurse identifies the diagnosis Risk for Impaired Skin Integrity as applicable for a client with heart failure.Which assessment finding supports the use of this diagnosis for the client?

A client in the emergency department is being admitted for fluid volume deficit.When preparing to assess this client,on which body system should the nurse focus to determine the cause of the imbalance?

A child weighing 33 lbs.who is diagnosed with dehydration is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours.How many total mL of fluid should the nurse provide to the client? Calculate to the nearest whole number.

A client with a history of hypertension,is diagnosed with chronic renal disease.When the client asks the nurse how this occurred,which response by the nurse is the most appropriate?

The nurse is caring for a client who is receiving intravenous fluids postoperatively following cardiac surgery.The nurse is aware that this client is at risk for fluid volume excess.The family asks why the client is at risk for this condition.Which response by the nurse is the most appropriate?

The nurse is planning care for the client with acute renal failure.The nurse plans the client's care based on the nursing diagnosis of Excess Fluid Volume.Which assessment data supports this nursing diagnosis?

The nurse is caring for a client receiving a blood transfusion.Ten minutes after the transfusion of a unit of packed red blood cells was initiated,the client complains of a headache.The nurse assesses that the client has slight shortness of breath and feels warm to the touch.Based on this data,which is the priority intervention for this client?

The nurse instructs a client with chronic renal disease on the prescribed medication furosemide (Lasix).Which client statement indicates that teaching has been effective?

A client is admitted to the emergency department for vomiting and diarrhea that has lasted 4 days.The client's current weight is 154 pounds.The health care provider has diagnosed the client with a viral infection.The nurse has been monitoring intravenous fluids and urine output.Which urinary output indicates the efforts to rehydrate this client have been successful?

The community nurse visits the home of a young child who is home from school because of sudden onset of nausea,vomiting,and lethargy.The nurse suspects acute renal failure.Which clinical manifestations support the nurse's suspicions? Select all that apply.

A client with heart failure is prescribed an oral fluid restriction of 1,200 mL per day.How many ounces of fluid should the nurse teach the client is permitted during the daylight shift?