Exam 18: Fluid, Electrolyte, and Acid-Base Balances

The nurse is caring for a patient who has been vomiting.The patient's sodium level is 124 mEq/L.Which laboratory result will the nurse also expect to see in the patient's chart?

Which assessment findings prevent the nurse from starting an IV in the patient's right arm?

The nurse is caring for a patient with metabolic acidosis due to severe hyperglycemia.Which assessment finding indicates to the nurse that the patient's body is attempting to compensate for the acidosis?

Order: IV 1000 mL 0.9% NS to infuse over 5 hours IV tubing: 10 drops/mL No infusion pump is used.What is the flow rate in drops/minute? _____

Which is the appropriate action of the nurse when selecting a vein for IV placement?

The nurse is teaching a patient with vomiting and diarrhea about appropriate dietary fluids.Which option chosen by the patient would indicate further teaching is needed?

The patient receives an infusion of albumin to pull water from the tissues into the bloodstream.Which process is demonstrated by this treatment?

The nurse is caring for a patient with a serum potassium level of 7.1 mEq/L.Which is the highest priority nursing diagnosis for this patient?

Order: Merrem 500 mg in 100 mL D₅W IVPB infuse over 30 minutes IV tubing: 10 drops/mL What will the infusion pump rate be set at-how many mL/hour? _____

The patient is receiving an intravenous infusion of 40 mEq of potassium chloride in a 1000 mL solution of 0.9% saline.The patient states that the area around the IV site burns.What intervention does the nurse perform first?

The nurse is caring for a patient whose pituitary secretes excessive amounts of antidiuretic hormone (ADH).Which findings will the nurse expect to see during assessment of the patient?

The nurse is to administer 40 mEq of IV KCl to the patient with severe hypokalemia.Why did the pharmacy send up four 100 mL IV bags with 10 mEq of KCl in each bag?

Which patient should receive an IV solution of D₅W?

What causes the patient to feel thirsty and drink more water?

Which is the priority assessment to be documented prior to administering a blood product to a patient?

The nurse is caring for a patient with bulimia.The patient vomits after eating and is experiencing tingling of the fingers and toes and muscle cramps.What is the patient's expected acid-base status?

The patient reports muscle weakness after taking prescribed furosemide daily.Which laboratory finding will the nurse expect to see in the patient's chart?

The nurse is caring for a patient with a poorly controlled hypoparathyroid condition.Which is the highest priority nursing diagnosis for this patient?