Exam 40: Fluid, electrolyte, and Acid-base Balances

Which of the following assessments would indicate infiltration of a patient's IV line? (Select all that apply. )

The nurse is caring for a patient with sepsis.The plan of care for the patient is to administer antibiotics three times a day for 4 weeks.What device will be used to administer these antibiotics?

Which patient is most at risk for sensible water loss?

Which fluid order should the nurse question for a patient with a traumatic brain injury?

The nurse receives the patient's most recent blood work results.Which laboratory value is of greatest concern?

Approximately two thirds of the body's total water volume exists in which fluid?

The physician asks the nurse to monitor the fluid volume statuses of a patient with heart failure and a patient at risk for clinical dehydration.What is the most effective nursing intervention for monitoring both of these patients?

The nurse knows that an imbalance of which ion causes acid-base impairment?

The nurse knows that IV fluid therapy has been effective for a patient with hypernatremia when what happens?

What is the most abundant cation in the blood?

The nurse knows that edema in a patient who has venous congestion from right-sided heart failure is facilitated by an imbalance with regard to which pressure?

A patient informs the nurse that he has the type of diabetes that does not have to do with "blood sugar." The nurse advises the patient to make which dietary change?

The nurse understands that administering a hypertonic solution to a patient will shift water from which space to which space?

A patient receiving chemotherapy has gained 2 kg (5 pounds)in 2 days.Which assessment question by the nurse is most appropriate?

A nurse is caring for a patient who is in hypertensive crisis.When the nurse is flushing the patient's peripheral IV line,the patient complains of pain.Upon assessment,the nurse notices a red streak near the IV site that is warm to the touch.What is the nurse's initial action?

A patient presents to the emergency department with the complaint of vomiting and diarrhea for the past 48 hours.The nurse anticipates which fluid therapy initially?

A patient was admitted for hypovolemia and has IV fluid running at 250 mL/hr.The patient complains of burning at the IV insertion site.Upon assessment,the nurse does not find redness,swelling,heat,or coolness.The nurse suspects which of the following?

A patient is to receive 1500 mL of 0.9% sodium chloride intravenously at a rate of 125 mL/hr.The nurse is using microdrip gravity drip tubing.What is the minute flow rate (drops per minute)?

The nurse would select the dorsal venous plexus of the foot as an IV site for which patient?

The nurse would not expect full compensation to occur for which acid-base imbalance?