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Fluid/Electrolyte NUR 213: Questions & Answers
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Fluid/Electrolyte NUR 213: Questions & Answers
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Fluid/Electrolyte NUR 213: Questions & AnswersA nurse is admitting a client who has status asthmaticus. The client's ABG
results are pH 7.32, PaO2 74mmHg, PaCO2 56mmHg, and HCO3- 26 mEq/L.
The nurse should interpret these laboratory values as which of the following
imbalances? Right Ans - Respiratory acidosis
A nurse is admitting a client who takes 40mg furosemide daily for heart
failure and has experienced 3 days of vomiting. The nurses suspects
hypokalemia. Which of the following medications should the nurse prepare to
administer? Right Ans - 0.9% sodium chloride with 10mEq/L of potassium
chloride at 100mL/hr
A nurse is assessing a client who has a phosphorus level of 2.4mg/dL. Which
of the following findings should the nurse expect? Right Ans - Slow
peripheral pulses
To screen a client for pheochromocytoma, a nurse schedules a
vanillylmandelic acid test. When teaching the client about this test, which of
the following instructions should the nurse include? Right Ans - Restrict
coffee intake 2 to 3 days prior to the test-- patients should avoid coffee, tea
(even if they are decaffeinated), bananas, chocolate, and vanilla
A nurse is teaching a client who has type 1 diabetes mellitus about how to
prevent complications during illness. Which of the following statements
should the nurse identify as an indication that the client understands the
teaching? Right Ans - I will call my doctor if my blood sugar is more than
250mg/dL-- during illness patient needs to call >250mg/dL glucose reading
A nurse is teaching a client who has diabetes mellitus. Which of the following
should the nurse include as an expected finding of diabetic ketoacidosis
(DKA)? Right Ans - Blood glucose levels above 300mg/dL-- levels above
600mg/dL are an expected finding with hyperglycemic-hyperosmolar state
A nurse is teaching a client who has diabetes mellitus about insulin injections.
The client's prescription includes evening doses of insulin glargine and
regular insulin. Which of the following instructions should the nurse include?
, Right Ans - Draw up the insulins into separate syringes-- insulin glargine isn't
compatible with other insulins
A nurse is teaching a client who has an autoimmune disease about the adverse
effects of long-term corticosteroid therapy. Which of the following effects
should the nurse include? (select all that apply) Right Ans - Osteoporosis--
due to the suppression of bone formation and acceleration of bone resorption
Moon-shaped face-- can cause characteristics of iatrogenic Cushing's
syndrome, also can include a potbelly, and buffalo hump
Increased risk of infection-- suppresses the immune system
A nurse is teaching a client about the adrenocorticotropic hormone (ACTH)
stimulation test. The nurse should explain that the purpose of the test is to
assess for which of the following disorders? Right Ans - Addison's disease--
this test measures the cortisol response to ACTH, the response is absent or
decreased in clients who have primary adrenal insufficiency
A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing.
Which of the following statements should the nurse identify as an indication
that the client understands the information about this test? Right Ans -
This test result is a good indicator of my average blood glucose levels--
average over the last 90 days (ATI says 120 days)
A nurse is reviewing laboratory values for a client who has diabetic
ketoacidosis (DKA). Which of the following results should the nurse expect?
Right Ans - pH 7.32, PaCO2 36mmHg, HCO3 14mEq-- metabolic acidosis
A nurse is providing discharge teaching for a client who has diabetes insipidus
and has a new prescription for desmopressin nasal spray. Which of the
following instructions should the nurse include in the teaching? Right Ans -
Blow your nose gently prior to using the nasal spray-- this prevents dilution of
the medication with nasal secretions
A nurse is preparing a teaching plan for a client who has diabetes insipidus
and requires intranasal desmopressin. Which of the following information
should the nurse include in the teaching plan? Right Ans - Report nocturia
because it requires a dosage adjustment-- the dose will be adjusted until the
patient no longer has nocturia
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