Exam 12: Fluid Volume and Electrolytes

A patient is being treated for shock after a motor vehicle accident.The provider orders 6% dextran 75 to be given intravenously.The nurse should expect which outcome as the result of this infusion?

A patient with cirrhosis is noted to have low serum albumin levels.The patient is to receive 200 mL of albumin in 30 minutes.The drop factor for the IV set is 15 gtt/mL.The nurse correctly adjusts the IV rate to what rate?

The nurse is caring for a patient who has had severe vomiting.The patient's serum sodium level is 130 mEq/L.The nurse will expect the patient's provider to order which treatment?

The nurse is preparing to administer digoxin to a patient who is newly admitted to the intensive care unit.The nurse reviews the patient's admission electrolytes and notes a serum potassium level of 2.9 mEq/L.Which action by the nurse is correct?

The nurse is administering intravenous fluids to a patient who is dehydrated.On the second day of care,the patient's weight is increased by 2.25 pounds.The nurse would expect that the patient's fluid intake has

The nurse is caring for a patient who will receive 10% calcium gluconate to treat a serum potassium level of 5.9 mEq/L.The nurse performs a drug history prior to beginning the infusion.Which drug taken by the patient would cause concern?

A patient is suspected of having severe hypocalcemia.While waiting for the patient's serum electrolyte results,the nurse will assess for which symptoms?

A patient is taking a thiazide diuretic and reports anorexia and fatigue.The nurse suspects which electrolyte imbalance in this patient?

A patient is admitted after experiencing vomiting and diarrhea for several days.The provider orders intravenous lactated Ringer's solution.The nurse understands that this fluid is given for which purpose?

A patient has a serum potassium level of 2.7 mEq/L.The patient's provider has determined that the patient will need 200 mEq of potassium to replace serum losses.How will the nurse caring for this patient expect to administer the potassium?

The nurse is caring for a patient who has a heart rate of 98 beats per minute and a blood pressure of 82/58 mm Hg.The patient is lethargic,is complaining of muscle weakness,and has had gastroenteritis for several days.Based on this patient's vital signs,which sodium value would the nurse expect?

The nurse is caring for a patient who will receive intravenous calcium gluconate.Which nursing actions are appropriate when giving this solution?

The nurse is caring for a patient whose serum sodium level is 140 mEq/L and serum potassium level is 5.4 mEq/L.The nurse will contact the patient's provider to discuss an order for

A patient is admitted with orthopnea,cough,pulmonary crackles,and peripheral edema.The patient's urine specific gravity is 1.002.The nurse will expect this patient's provider to order which treatment?

The nurse is caring for a patient who is receiving isotonic intravenous (IV)fluids at an infusion rate of 125 mL/h.The nurse performs an assessment and notes a heart rate of 102 beats per minute,a blood pressure of 160/85 mm Hg,and crackles auscultated in both lungs.Which action will the nurse take?

A patient's serum osmolality is 305 mOsm/kg.Which term describes this patient's body fluid osmolality?

The nurse is caring for a newly admitted patient who will receive digoxin to treat a cardiac dysrhythmia.The patient takes hydrochlorothiazide (HydroDIURIL)and reports regular use of over-the-counter laxatives.Before administering the first dose of digoxin,the nurse will review the patient's electrolytes with careful attention to the levels of which electrolytes?

A patient asks the nurse about taking calcium supplements to avoid hypocalcemia.The nurse will suggest that the patient follow which instruction?

The nurse is caring for a patient who is ordered to take nothing by mouth.The patient weighs 65 kg.What volume of intravenous fluid should this patient receive in 24 hours?

The provider has ordered Kayexalate and sorbitol to be administered to a patient.The nurse caring for this patient would expect which serum electrolyte values prior to administration of this therapy?