Exam 89: Fluid, electrolyte, and Acid-Base Balance

A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother's purse.The nurse knows that the child is at greatest risk for which acid-base imbalance?

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

The nurse selects appropriate tubing for a blood transfusion by ensuring that the tubing has

A nurse is assessing a patient who is receiving a blood transfusion and finds that the patient is anxiously fidgeting in bed.The patient is afebrile and dyspneic.The nurse auscultates crackles in both lung bases and sees jugular vein distention.The nurse recognizes that the patient is experiencing which transfusion complication?

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

A patient had an acute intravascular hemolytic reaction to a blood transfusion.After discontinuing the blood transfusion,what is the nurse's next action?

A nurse is caring for a diabetic patient with a bowel obstruction and has orders to ensure that the volume of intake matches the output.In the past 4 hours,the patient received dextrose 5% with 0.9% sodium chloride through a 22-gauge catheter infusing at 150 mL/hr and has eaten 200 mL of ice chips.The patient also has an NG suction tube set to low continuous suction that had 300 mL output.The patient has voided 400 mL of urine.After reporting these values to the physician,what orders does the nurse anticipate?

Which assessment finding should cause a nurse to question administering a sodium-containing isotonic intravenous fluid?

A nurse has just received a bag of packed red blood cells.The nurse knows that the blood must not remain at room temperature for longer than

The nurse is caring for a patient with hyperkalemia.Which body system would be most important for the nurse plan to monitor closely?

The nurse would expect a patient with respiratory acidosis to have an excessive amount of

A patient was admitted for a bowel obstruction and has had a nasogastric tube set to low intermittent suction for the past 3 days.The patient's respiratory rate has decreased to 12 breaths per minute.The nurse would expect the patient to have which of the following arterial blood gas values?

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

A patient informs the nurse that he has the type of diabetes that does not require insulin.The nurse advises the patient to make which dietary change?

A nurse begins infusing a 250-mL bag of IV fluid at 1845 on Monday and programs the pump to infuse at 20 mL/hr.At what time should the infusion be completed?

The nurse knows that intravenous fluid therapy has been effective for a patient with hypernatremia when

A nurse is caring for a patient whose ECG presents with changes characteristic of hypokalemia.Which assessment finding would the nurse expect?

Which assessment finding would the nurse expect for a patient with the following laboratory values: sodium 145 mEq/L,potassium 4.5 mEq/L,calcium 4.5 mg/dL?

The nurse knows that the most abundant cation in the blood is

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