NURS 101 FINAL EXAM 2024-2025 TEST BANK
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) HIGH DISTINCTION
Terms in this set (16)
A client is prone to Wound Drainage
hyponatremia. Which Diuretic Therapy
factors should the nurse GI Suction
identify that can precipitate Inappropriate Anti-Diuretic Hormone Secretion
hyponatremia? Select all
that apply. Rationale:
Wound drainage can result in hyponatremia from loss of
Wound drainage sodium ions. Most diuretics interfere with sodium
reabsorption in the nephrons and have the side effect of
Diuretic therapy hyponatremia. Gastrointestinal fluids are rich in sodium
ions, which are lost by GI suction. With the syndrome of
Gastrointestinal (GI) suction inappropriate anti-diuretic hormone (SIADH), high levels
of the anti-diuretic hormone (ADH) are produced,
Parenteral infusion of 0.9% causing the body to retain water instead of excreting it
sodium chloride normally in the urine. Parenteral infusion of 0.9% sodium
chloride, an isotonic solution, should be compatible with
Inappropriate anti-diuretic body fluids; if given in excess, it may lead to
hormone (ADH) secretion hypernatremia.
, The nurse is assessing the Hypokalemia
respiratory status of the Rationale:
client at 2-hour intervals as In case of hypokalemia, the nurse should assess the
a nursing safety priority. respiratory status of the client every 2 hours. In case of
Which condition is affecting hyperkalemia, the nurse should notify the healthcare
the client? team if the heart rate falls below 60 beats per minute or
T waves become spiked. In case of hyponatremia, the
Hypokalemia nurse should be aware of muscle weakness in the client
and immediately check respiratory effectiveness. In case
Hyperkalemia of hypernatremia, the nurse should assess the client
hourly for excessive losses of fluid, sodium, or
Hyponatremia potassium.
Hypernatremia
2. Decrease in erythropoietin
The nurse is preparing a
Rationale:
blood transfusion for a
The hormone erythropoietin, produced by the kidneys,
client with renal failure. Why
stimulates the bone marrow to produce red blood cells.
does anemia often
In renal failure there is a deficiency of erythropoietin that
complicate renal failure?
often results in the client developing anemia. Therefore
the nurse is instructed to administer blood. In renal
1. Increase in blood
failure, increased blood pressure is due to impairment of
pressure
renal vasodilator factors and is not treated by
2. Decrease in
administration of blood. Phosphate is retained in the
erythropoietin
body during renal failure, causing binding of calcium
3. Increase in serum
leading to done demineralization, not anemia. Increase
phosphate levels
in urinary sodium concentration and decrease in serum
4. Decrease in serum
sodium concentration trigger the release of renin from
sodium concentration
the juxtaglomerular cells.
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