Exam (elaborations)
Fluid and Electrolyte NCLEX Questions And Correct Answers 100% Pass
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Fluid and Electrolyte NCLEX Questions And
Correct Answers 100% Pass
The nurse is caring for a client with heart failure. On Assessment, the nurse notes that the client
is dyspneic and crackles are audible on auscultation....
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©BRAINBARTER EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Fluid and Electrolyte NCLEX Questions And
Correct Answers 100% Pass
The nurse is caring for a client with heart failure. On Assessment, the nurse notes that the client
is dyspneic and crackles are audible on auscultation. What additional signs would the nurse
expect to note in this client if excess fluid volume is present?
1 - weight loss
2 - Flat neck and head veins
3 - An increase in BP
4 - Decreased central venous pressure - Answers✔3 - Increase in BP
Reason:
-Dyspneic - difficulty breathing and crackles are findings of fluid volume excess (overhydration)
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ALL RIGHTS RESERVED.
-The other symptoms would not match because they should be the opposite (weight gain,
distended veins, elevated CVP)
The nurse is preparing to care for a client with a potassium deficit. The nurse reviews the client
record and determines that the client was at risk for developing the potassium deficit because
of which situation?
1 - Sustained tissue damage
2 - Requires nasogastric suction
3 - Has a history of Addison's disease
4 - Is taking potassium-retaining diuretics - Answers✔2 - Required nasogastric suction
Reason:
- Hyopkalemia - potassium deficit (normal levels 3.5 mEq/L - 5.0 mEq/L)
- The other points are risks for HYPERkalemia
The nurse reviews a client's electrolyte laboratory report and notes that the potassium level is
2.5 mEq/L. Which pattern would the nurse note on the electrolyte cardiogram as a result of the
lab value?
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1 - U waves
2 - Absent P waves
3 - Elevated T waves
4 - Elevated ST segment - Answers✔1 - U waves
Reason:
- Level is below normal limit (HYPO)
- This results in the following ECG results: ST depression, shallow/flat/inverted T wave,
prominent U wave
The nursing student needs to administer potassium chloride IV as prescribed to client with
hypokalemia. The instructor determines that the student is unprepared if the student states
that which action is part of the plan for preparation and administration of the potassium?
1 - obtaining IV infusion pump
2 - Monitoring urine output during administration
3 - Preparing the medication for bolus administration
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4 - Ensuring the med is diluted in the appropriate amount of normal saline - Answers✔3 -
Preparing for bolus administration
Reason:
- Bolus = IV push
- Potassium is NEVER given by IV push (AKA bolus)
The nurse provides instructions to a client with a low potassium level about the foods that are
high in potassium and tells them to consume which of the following (select all that apply)?
1 - Peas
2 - Raisins
3 - Potatoes
4 - Cantaloupe
5 - Cauliflower
6 - Strawberries - Answers✔Raisins, Potatoes, cantaloupe, strawberries
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