Exam 6: Fluids and Electrolytes

The nurse is analyzing the intake and output record for a client being treated for dehydration.The client weighs 176 lbs.and had a 24-hour intake of 2,000 mL and urine output of 1,200 mL.Based on this data,which conclusion by the nurse is the most appropriate?

The nurse is caring for a client who is 3 days postoperative following an emergency appendectomy.The nurse is reviewing the client's lab values and notes that the client's calcium levels have increased since before surgery.Which intervention should the nurse implement to decrease the client's possibility of developing hypercalcemia?

A client agrees to receive long-term hemodialysis to treat acute renal failure.For which surgical procedure should the nurse instruct this client?

The nurse is caring for a client from another country who was admitted with hypertension and chronic renal failure.The client is receiving hemodialysis three times a week.The nurse is assessing the client's diet and the client reports the use of salt substitutes.When teaching the client to avoid salt substitute,which rationale supports this teaching point?

During an assessment,the nurse becomes concerned that an older adult client is at risk for dehydration.Which did the nurse assess to come to this conclusion?

A nurse evaluating the therapeutic effect of the drug sodium polystyrene sulfonate (Kayexalate)for a client diagnosed with chronic renal failure.Which therapeutic effect from the medication does the nurse anticipate?

The nurse is reviewing laboratory values for a female client suspected of having a fluid imbalance.Which laboratory value evaluated by the nurse supports the diagnosis of dehydration?

The nurse is planning care for a client admitted with heart failure.Based on this diagnosis,which type of renal failure is the client at an increased risk for experiencing?

The nurse is concerned that an older adult client is at risk for developing acute renal failure.Which information in the client's history support the nurse's concern? Select all that apply.

During a home visit,the nurse is concerned that an older adult client is developing renal failure.The client has no history of cardiovascular disease.Which data in the client's assessment caused the nurse to have this concern? Select all that apply.

The nurse is planning care for a client with chronic kidney disease and osteoporosis.After reviewing the client's medical record,which is the priority nursing diagnosis for this client?

The nurse is providing care for a child diagnosed with renal failure who is experiencing hyperkalemia.When planning meals for this child,which choice would be most appropriate for this client?

A client with renal failure will be discharged to home in the next few days.When conducting dietary instruction,the nurse teaches the client to choose proteins that are high in biological value.Which client statement indicates that teaching has been effective?

The nurse is caring for a client who is diagnosed with acute renal failure.When reviewing the client's laboratory data,which findings indicate that a client has met the expected outcomes? Select all that apply.

A client with renal failure is receiving peritoneal dialysis.The nurse is explaining the process to the client.Which statement would the nurse include in a discussion with the client and family?

The nurse is reviewing the lab values for a client being cared for on the unit.The client's phosphorus level is 2.0 mg/dL.Based on this data,which nursing intervention would address this client's phosphorus level?

An older adult client is brought to the emergency department from a long-term care facility.The client has been experiencing fever,nausea,and vomiting for the past 2 days.The client denies thirst.Urine dipstick indicates a decreased urine specific gravity.Based on this data,which diagnosis does the nurse anticipate?

A client with frequent urinary tract infections in seen in the urology clinic and is at risk for acute renal failure.The nurse reviews the client's medical history.Which item support the client's being at risk for acute renal failure? Select all that apply.

During an assessment,the nurse learns that a client seeking emergency treatment for a headache and nausea works in a mill without air conditioning.The air temperature is 88 degrees and the client states that water has been ingested several times throughout the day because of heavy sweating.Based on this data,which suggestion by the nurse is the most appropriate?