Christoff is diagnosed with hypermagnesemia. Symptoms of her condition may include: A. Hypertension B. Tachycardia C. Hyperactive deep-tendon reflex D. Cardiac arrhythmias Correct Answer: D. Cardiac arrhythmias Cardiac arrhythmias are associated with hypermagnesemia. For higher values (over 12.0 mg/dL) muscle paralysis, paralytic ileus, decreased breathing rate, low… Read More »
Lisa, a client with altered urinary function, is under the care of nurse Tine. Which intervention is appropriate to include when developing a plan of care for Lisa who is experiencing urinary dribbling? A. Inserting an indwelling Foley catheter. B. Having the client perform Kegel exercises. C. Keeping the skin clean and… Read More »
A patient in which of the following disorders is at high risk to develop hypermagnesemia? A. Insulin shock B. Hyperadrenalism C. Nausea and vomiting D. Renal failure Correct Answer: D. Renal failure Renal failure can reduce magnesium excretion, leading to hypermagnesemia. Hypermagnesemia refers to an excess amount… Read More »
When assessing a patient for metabolic alkalosis, the nurse would expect to find: A. Low serum potassium B. Changes in urine output C. Hypotension D. Increased CVP Correct Answer: A. Low serum potassium Decreased serum potassium is a common symptom of metabolic alkalosis. The biological effects of… Read More »
Daniel who is a marathon runner is at high risk for fluid volume deficit. Which one of the following is a related factor? A. Decreased diuresis B. Disease-related process C. Decreased breathing and perspiration D. Increased breathing and perspiration Correct Answer: D. Increased breathing and perspiration Excessive… Read More »
Jeron is admitted to the hospital due to bacterial pneumonia. He is febrile, diaphoretic, and has shortness of breath and asthma. Which goal is the most important for the client? A. Prevention of fluid volume excess B. Maintenance of adequate oxygenation C. Education about infection prevention D. Pain reduction … Read More »
Nursing interventions for a patient with hypermagnesemia include administering calcium gluconate to: A. Increase calcium levels. B. Antagonize the cardiac effects of magnesium. C. Lower calcium levels. D. Lower magnesium levels. Correct Answer: B. Antagonize the cardiac effects of magnesium. In a patient with hypermagnesemia, administration of… Read More »
Which of the following blood products should be infused rapidly? A. Packed red blood cells (PRBC) B. Fresh frozen plasma (FFP) C. Platelets D. Dextran Correct Answer: C. Platelets Platelets and cryoprecipitate can be infused quickly. Platelet administration sets have a smaller priming capacity than a blood… Read More »
Jomarick is diagnosed with FVD; which of the following nursing diagnoses might apply to his condition? A. Altered urinary elimination B. Decreased cardiac output C. Increased cardiac output D. Vomiting Correct Answer: B. Decreased cardiac output Decreased cardiac output is a nursing diagnosis associated with isotonic FVD.… Read More »