NURS 1213 Concepts for Nursing
(Fluid Electrolyte) Elsevier Adaptive
Questions and Answers with
Guaranteed Pass.
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Which client problem would the nurse expect to decrease in response to
the administration of serum albumin intravenously to a client with
ascites?
Confusion
Urinary output
Abdominal girth
Serum ammonia level
Rationale
An increased serum albumin level increases the osmotic effect and pulls fluid back into
the intravascular compartment. This will increase renal flow and urine output, with a
resulting decrease in abdominal girth. Confusion will not be impacted. Urinary output
therapy will increase blood volume and blood flow to the kidney, thereby increasing
urinary output. Albumin therapy has no effect on blood ammonia levels. An increased,
not decreased, blood ammonia level causes hepatic encephalopathy.
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When ammonia is excreted by healthy kidneys, which mechanism
usually is maintained?
Osmotic pressure of the blood
Acid-base balance of the body
Low bacterial levels in the urine
Normal red blood cell production
Rationale
The excreted ammonia combines with hydrogen ions in the glomerular filtrate to form
ammonium ions, which are excreted from the body. This mechanism helps rid the
body of excess hydrogen, maintaining acid-base balance. Osmotic pressure of the
blood and normal red blood cell production are not affected by excretion of ammonia.
Ammonia is formed by the decomposition of bacteria in the urine; ammonia excretion
is not related to the process and does not control bacterial levels.
Which nutrient deficiency in the pregnant adolescent may result in
decreased birthweight as a consequence of low bone mineral density in
the fetus?
Zinc
Iron
Calcium
Folic acid
Rationale
Calcium and vitamin deficiency may result in decreased birthweight as a consequence
of low bone mineral density. Zinc deficiency may not lead to a decrease in bone
mineral density. Iron deficiency may lead to anemia. Folic acid deficiency may result in
neural tube defects.
The nurse receives an order to prepare the solution for administering a
cleansing enema to a 3-year-old child. Which is the volume of solution
, lOMoAR cPSD| 19857451
500 to 750 mL
Rationale
The nurse would prepare 250 to 350 mL of warmed solution for administering a
cleansing enema in a toddler. The nurse would prepare 150 to 250 mL of warmed
solution for infants. In school-aged children, the volume of warmed solution is 300 to
500 mL. In adolescents, the volume required is 500 to 750 mL.
Test-Taking Tip: Identify option components as correct or incorrect. This may help you
identify a wrong answer.
Which symptom indicates that a client with inhalation anthrax is in the
fulminant stage?
Fever
Dry cough
Mediastinitis
Mild chest pain
Rationale
Inhalation anthrax is a bacterial infection caused by Bacillus anthracis. This disease has
two stages of illness, the prodromal stage and the fulminant stage. The symptom of
the fulminant stage is mediastinitis. The symptoms of the prodromal stage are fever,
dry cough, and mild chest pain.
Which nursing assessment finding is consistent with fluid volume
overload from high-flow intravenous (IV) fluid replacement therapy?
Select all that apply. One, some, or all responses may be correct.
Pulse quality
Pulse pressure
Bounding pulse
Presence of dependent edema
Neck vein distention in the upright position
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