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NCLEX PN - Fluids/Electrolytes and Medication Questions And Correct Answers 100% Pass $12.49
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NCLEX PN - Fluids/Electrolytes and Medication Questions And Correct Answers 100% Pass

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  • Course
  • NCLEX
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©BRAINBARTER EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 1 | P a g e NCLEX PN - Fluids/Electrolytes and Medication Questions And Correct Answers 100% Pass The nurse who is caring for a client with kidney failure notes that the client is dyspneic, and crackles are heard on auscultation. Wh...

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  • December 3, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX
  • NCLEX
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©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.




NCLEX PN - Fluids/Electrolytes and
Medication Questions And Correct Answers
100% Pass


The nurse who is caring for a client with kidney failure notes that the client is dyspneic, and

crackles are heard on auscultation. Which additional signs/symptoms should the nurse expect

to note in this client?




A) Rapid weight loss




B) Flat hand and neck veins




C) A weak and thready pulse




D) An increase in blood pressure - Answers✔D) an increase in blood pressure




1|Page

, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
rationale:


impaired cardiac or kidney function can result in fluid volume excess.


Findings associated with fluid volume excess include cough, dyspnea, crackles, tachypnea,

tachycardia, an elevated blood pressure, a bounding pulse, an elevated central venous

pressure, weight gain, edema, neck and hand vein distention, an altered level of consciousness,

and a decreased hematocrit level.


The nurse is reviewing the health records of assigned clients. The nurse should plan care

knowing that which client is at risk for a potassium deficit?




A) the client with Addison's disease




B) The client with metabolic acidosis




C) the client with intestinal obstruction




D) the client receiving nasogastric suction - Answers✔D) the client receiving nasogastric suction




rationale:

2|Page

, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
Potassium-rich gastrointestinal (GI) fluids are lost through GI suction, which places the client at

risk for hypokalemia.


The client with intestinal obstruction, Addison's disease, and metabolic acidosis is at risk for

hyperkalemia.


The nurse reviews a clients electrolyte results and notes a potassium level of 5.5 mEq/L. The

nurse understands that a potassium value at this level should be noted with which condition?




A) Diarrhea




B) Traumatic burn




C) Cushing's Syndrome




D) Overuse of laxatives - Answers✔B) Traumatic Burn




rationale:




3|Page

, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
a serum potassium level that exceeds 5.0 mEq/L is indicative of hyperkalemia. Clients who

experience the cellular shifting of potassium, as in the early stages of massive cell destruction

(ie with trauma, burns, sepsis, or metabolic or respiratory acidosis), are at risk for hyperkalemia.


The client with Cushing's syndrome or diarrhea and the client who has been overusing laxatives

are at risk for hypokalemia.


The nurse reviews a client's electrolyte results and notes that the potassium level is 5.4 mEq/L.

Which should the nurse observe for on the cardiac monitor as a result of this laboratory value?




A) ST elevation




B) Peaked P waves




C) Prominent U waves




D) Narrow, peaked T waves - Answers✔D) Narrow, peaked T waves




rationale:


a serum potassium level of 5.4 mEq/L is indicative of hyperkalemia.

4|Page

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