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

The nurse is assessing a patient and finds crackles in the lung bases and neck vein distention.The nurse gives the patient a diuretic.What electrolyte imbalance is the nurse most concerned about?

Which laboratory value should the nurse examine when evaluating uncompensated respiratory alkalosis?

A patient was admitted for hypovolemia and has intravenous 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 that the

The nurse is caring for a diabetic patient in renal failure.Which laboratory findings would the nurse expect?

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 nurse is caring for a cancer patient who presents with anorexia,blood pressure 100/60,elevated white blood cell count,and oral candidiasis.The nurse knows that the purpose of starting total parenteral nutrition (TPN)is to

When discontinuing a peripheral IV access,the nurse should

Which patient is most at risk for sensible water loss?

A nurse is preparing to administer a blood transfusion.Which assessment finding would the nurse report immediately?

A patient with a lower respiratory infection has pH of 7.25,PaCO₂ of 55 mm Hg,and HCO₃- of 20 mEq/L.The physician has been notified.Which is the priority nursing intervention for this patient?

When selecting a site to insert an intravenous catheter on an adult,the nurse should

The nurse is caring for a patient with sepsis.The plan of care for the patient is to administer antibiotics 3 times a day for 4 weeks.What device will be used to administer these antibiotics?

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

Which organ system is responsible for compensation of respiratory acidosis?

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 understands that administering a hypertonic solution to a patient will shift water from the _____ to the _____ space.

The nurse would expect a patient with increased levels of serum calcium to also have _____ levels.

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

Approximately two thirds of the body's total water volume exists in the _____ fluid.

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