Exam 6: Fluids and Electrolytes

The nurse is administering peritoneal dialysis to a client with acute renal failure.The nurse notes the presence of a cloudy dialysate return.After notifying the health care provider,which action by the nurse is the most appropriate?

The nurse is planning care for a client admitted to the unit with dehydration.The client's lab values indicate a low level of serum sodium.Based on the assessment finding,the nurse determines an appropriate nursing diagnosis to be electrolyte imbalance.Which medical condition supports this nursing diagnosis?

The nurse is preparing to administer a hemodialysis treatment for a client with chronic kidney disease.Which laboratory values does the nurse anticipate prior to the client's treatment? Select all that apply.

The nurse is preparing to administer 20 mEq of potassium chloride to a client who has been vomiting.What should the nurse explain to the client about the purpose of this medication?

The nurse is caring for an older adult client diagnosed with chronic kidney disease.The client reports no bowel movement in the past 2 days.Based on this data,which condition is the client at an increased risk for developing?

A client with acute renal failure is complaining of a metallic taste in the mouth and has no appetite.Based on this data,which intervention by the nurse is the most appropriate?

The nurse is caring for a client admitted with a diagnosis of acute renal failure.The client asks the nurse,"Are my kidneys failing? Will I need a kidney transplant?" Which response by the nurse is the most appropriate?

The nurse is planning a seminar to instruct community members on ways to reduce the development of chronic kidney disease.Which topics should the nurse include in the seminar? Select all that apply.

A client's serum sodium level is 150 mg/dL.Based on this data,which interventions should the nurse plan for this client? Select all that apply.

The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr.Upon assessment,the nurse notes crackles,shortness of breath,and jugular vein distention.Based on this data,which complication of IV fluid therapy does the nurse anticipate?

The school nurse is preparing a class session for high school students on ways to maintain fluid balance during the summer months.Which interventions should the nurse recommend to decrease the risk of fluid imbalance? Select all that apply.

A pediatric nurse is assigned phone triage for the shift.The nurse takes a call from the mother of a 3-month-old infant.The mother tells the nurse that the child has been vomiting and experiencing diarrhea for several days.Which response by the nurse is the most appropriate?

The nurse is caring for a client with a potassium level of 5.9 mEq/L.The health care provider prescribes both glucose and insulin for the client.The client's spouse asks,"Why is insulin needed?" Which response by the nurse is the most appropriate?

The nurse is providing care to a client who is exhibiting clinical manifestations of a severe fluid and electrolyte imbalance.Based on this data,which health care provider prescriptions does the nurse prepare to implement? Select all that apply.

The nurse is teaching a group of children and their parents about the prevention of heat-related illness during exercise.Which statement by a parent indicates an appropriate understanding of the preventive techniques taught during the teaching session?

An older adult client is admitted to the hospital after a fall.The client appears intermittently confused.Based on age and current data,which is the client at an increased risk for developing?

The nurse is preparing to discharge a client with chronic kidney disease.The nurse is teaching the client and family about administering calcium acetate tablets by mouth with each meal at home.Which explanation about this medication is the most appropriate?

A client with acute renal failure has jugular vein distention,lower extremity edema,and elevated blood pressure.Based on this data,which nursing diagnosis is the most appropriate?

While caring for a client with end-stage renal disease,the nurse tracks the client's serum albumin level.For which nursing diagnosis is the action most indicated?

A client with chronic renal disease is experiencing manifestations of anemia.Based on this data,which treatment does the nurse anticipate for this client?