Orly Khan is suffering from fluid volume deficit (FVD), which of the following symptoms would the nurse expect to assess in the patient? A. Rales B. Bounding pulse C. Tachycardia D. Bulging neck veins Correct Answer: C. Tachycardia Tachycardia, poor tissue turgor, and hypotension are symptoms of… Read More »
When teaching a patient about foods high in magnesium, the nurse would include: A. Green vegetables B. Butter C. Cheese D. Tomatoes Correct Answer: A. Green vegetables Green vegetables are high in magnesium. Leafy greens are extremely healthy, and many are loaded with magnesium. Greens with significant… Read More »
A client is diagnosed with metabolic acidosis, which would the nurse expect the health care provider to order? A. Potassium B. Sodium bicarbonate C. Serum sodium level D. Bronchodilator Correct Answer: B. Sodium bicarbonate Metabolic acidosis results from excessive absorption or retention of acid or excessive excretion… Read More »
The nurse would analyze an arterial pH of 7.46 as indicating: A. Acidosis B. Alkalosis C. Homeostasis D. Neutrality Correct Answer: B. Alkalosis Alkalosis is indicated by a pH above 7.45. A pH below 7.35 is an acidemia, and a pH above 7.45 is an alkalemia. Due… Read More »
Mrs. Waltraud is receiving digoxin and Lasix daily. Today, she complains of nausea, and her apical pulse is 130 and irregular. Which of the following nursing interventions is the most appropriate? A. Hold the digoxin and check the patient’s potassium level. B. Remove the orange juice from the patient’s tray. C. Identify… Read More »
Which of the following electrolytes are lost as a result of vomiting? A. Bicarbonate and calcium B. Sodium and hydrogen C. Sodium and potassium D. Hydrogen and potassium Correct Answer: D. Hydrogen and potassium In upper gastrointestinal fluid loss, hydrogen and potassium are lost because these electrolytes… Read More »
Nurse Katee is caring for Adam, a 22-year-old client, in a long-term facility. Which nursing intervention would be appropriate when identifying nursing interventions aimed at promoting and preventing contractures? Select all that apply. A. Clustering activities to allow uninterrupted periods of rest. B. Maintaining correct body alignment at all times. C. Monitoring… Read More »
Nursing intervention for the patient with hyperphosphatemia includes encouraging intake of: A. Vitamin D B. Fleets phospho-soda C. Milk D. Amphojel Correct Answer: D. Amphogel Administration of phosphate binders (amphojel and basagel) will reduce the serum phosphate levels. Aluminum hydroxide (brand names: Alternagel®, Amphojel®) is an over-the-counter… Read More »
John Reid is admitted to the hospital and is currently receiving hypertonic fluids. Nursing management for the client includes monitoring for all of the following potential complications except: A. Water intoxication B. Fluid volume excess (FVE) C. Cellular dehydration D. Cell shrinkage Correct Answer: A. Water intoxication… Read More »
The balance of anions and cations as it occurs across cell membranes is known as: A. Osmotic activity B. Electrical neutrality C. Electrical stability D. Sodium-potassium pump Correct Answer: B. Electrical neutrality Electrical neutrality refers to a state in which the same number of positively charged ions… Read More »