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NSG 252 - Fluid and Electrolytes Practice Questions and answers.
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NSG 252 - Fluid and Electrolytes Practice Questions and answers.
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NSG 252 - Fluid andElectrolytes Practice
Questions and
answers
A 91-year-old client, who is being prepared for discharge, has been
prescribed the diuretic spironolactone. While teaching the client about the
drug, what major adverse effect should the nurse be sure to mention?
A) Hypokalemia
B) Hyperkalemia
C) Angina
D) Hypertension - answer B) Hyperkalemia
The nurse is reviewing the potassium level of a patient with kidney
disease. The results of the test are 6.5 mEq/L, and the nurse observes
peaked T waves on the ECG. What priority intervention does the nurse
anticipate the physician will order to reduce the potassium level?
A) Administration of an insulin drip
B) Administration of a loop diuretic
C) Administration of sodium bicarbonate
D) Administration of sodium polystyrene sulfonate [Kayexalate] - answer
D) Administration of sodium polystyrene sulfonate [Kayexalate]
The nurse has identified a collaborative problem of Risk for Complications
of Electrolyte Imbalance for a client with diarrhea. The client begins to
exhibit a decrease in level of consciousness. What is the nurse's most
appropriate action?
A) Notify the health care provider for additional orders.
, B) Document the client's level of consciousness.
C) Consult with another nurse to validate the assessment.
D) Decrease stimulation and allow the client to rest. - answer A) Notify
the health care provider for additional orders.
When describing the functions of the kidney to a client, which of the
following would the nurse include?
A) Regulation of white blood cell production
B) Synthesis of vitamin K
C) Control of water balance
D) Secretion of enzymes - answer C) Control of water balance
The health care provider has ordered a urinalysis for a normally healthy
client admitted to the hospital with dehydration. The client has been
vomiting for the past 3 days and has had minimal oral intake. Upon
analysis of the results, the urine specific gravity reflects:
A) 1.040
B) 1.001
C) 1.010
D) 1.025 - answer A) 1.040
A client is prescribed digitalis medication. Which condition should the
nurse closely monitor when caring for the client?
A) Vasculitis
B) Nausea and vomiting
C) Flexion contractures
D) Enlargement of joints - answer B) Nausea and vomiting
When the nurse notes that, after cardiac surgery, the client demonstrates
low urine output (less than 25 mL/h) with high specific gravity (greater
than 1.025), the nurse suspects which condition?
A) Inadequate fluid volume
B) Normal glomerular filtration
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