Exam (elaborations)
N 528 Assessment #2 Fluid, Electrolyte, and Acid-Base – ATI Exam/68 Q’s and A’s
- Course
- Institution
N 528 Assessment #2 Fluid, Electrolyte, and Acid-Base – ATI Exam/68 Q’s and A’s
[Show more]
Content preview
N 528 Assessment #2 Fluid, Electrolyte,and Acid-Base – ATI Exam/68 Q’s and A’s
What assessment is a priority to do with a client with Dehydration ? - -
Mental status
-A nurse is reviewing the laboratory report of a client who has fluid volume
excess. Which of the following laboratory values should the nurse expect? - -
Hct 34%
Fluid volume excess can cause hemodilution and a decreased hematocrit
level
-A nurse is assessing a client who is receiving hydrochlorothiazide and notes
that the client is confused and lethargic. Which of the following laboratory
values should the nurse report to the provider? - -Sodium 128 mEq/L
The nurse should report this finding to the provider and monitor the client
for weakened respiratory effort
-A nurse is providing dietary teaching to a client who has kidney disease.
Which of the following food choices should the nurse include in the teaching
as containing the lowest amount of magnesium? - -One large hard-boiled
egg
One large hard-boiled egg contains 5 mg of magnesium. Therefore, the nurse
should recommend this food as containing the lowest amount of magnesium.
-A nurse is assessing a client who has a calcium level of 8.1 mg/dL. Which of
the following findings is the priority for the nurse to assess? - -Cardiac
Rhythm
When using the airway, breathing, circulation approach to client care, the
nurse should first assess the client's cardiac rhythm because this total serum
calcium level is below the expected reference range. Hypocalcemia can
cause ECG changes, bradycardia, or tachycardia
-A nurse is caring for a client who has a sodium level of 155 mEq/L. Which of
the following IV fluids should the nurse anticipate the provider to prescribe? -
-A sodium level of 155 mEq/L is an indication of hypernatremia. The nurse
should anticipate a prescription for a hypotonic solution. The 0.45% sodium
chloride is a hypotonic solution used to provide free water and treat cellular
dehydration, which promotes waste elimination by the kidneys.
-A nurse is assessing a client who has hypomagnesemia. Which of the
following findings should the nurse expect? - -Hyperactive deep-tendon
, reflexes. Other expected findings include muscle cramps, numbness, and
tingling. Increased BP, Decreased bowel sounds and insomnia
-A nurse is assessing a client who has a phosphorus level of 2.4 mg/dL.
Which of the following findings should the nurse expect? - -This phosphorus
level is below the expected reference range. The nurse should expect the
client to have slow peripheral pulses. Decrease in cardiac output. Weakness
of skeletal muscles and rhabdomyolysis, which is acute muscle breakdown.
Assess for manifestations of kidney failure.
-A nurse is caring for a client who is experiencing respiratory distress as a
result of pulmonary edema. Which of the following actions should the nurse
take first? - -Initiate high-flow oxygen therapy by face mask at 5 to 6 L/min
to keep the client's oxygen saturation above 90%.
-cardiac manifestations of pulmonary edema - -premature ventricular
contractions and dysrhythmias
-A nurse is planning care for a client who has a potassium level of 3.0
mEq/L. The nurse should plan to monitor the client for which of the following
findings? - -orthostatic hypotension, which places them at risk for falls.
Weakening of the respiratory muscles and shallow respirations, weak and
thready pulse. weak hand grip strength and weak deep-tendon reflexes.
-A nurse is providing teaching to a client who is at risk for developing
respiratory acidosis following surgery. Which of the following statements by
the client indicates an understanding of the teaching? - -"I will use the
incentive spirometer every hour."
Respiratory depression and limited chest expansion are both causes of
respiratory acidosis. Using an incentive spirometer will promote adequate
chest expansion.
-Dehydration can cause what type of acid-base imbalance - -metabolic
acidosis
-The client is short of breath, appears restless, and has a respiratory rate of
28/min. The client's ABG results are pH 7.52, PaO2 89 mm Hg, PaCO2 28 mm
Hg, and HCO3- 24 mEq/L. Which of the following actions should the nurse
take? - -Calming the client should decrease the respiratory rate, which will
cause the client's carbon dioxide levels to increase to expected levels of 35
to 45 mm Hg and lower the pH to expected levels of 7.35 to 7.45.
-A nurse is reviewing the medical record of a client who has diabetes
mellitus and is receiving regular insulin by continuous IV infusion to treat
diabetic ketoacidosis. Which of the following findings should the nurse report
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Nursephil2023. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85443 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now