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RNSG 1443 Fluid & Electrolytes , Level II, Test 1 Questions With Complete Solutions
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RNSG 1443 Fluid & Electrolytes , Level II, Test 1 Questions With Complete Solutions
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RNSG 1443 Fluid & Electrolytes , Level II, Test 1 QuestionsWith Complete Solutions
1.6-2.6 Correct Answers Magnesium lab value range
135-145 Correct Answers Sodium lab value range
2.8-4.5 Correct Answers Phosphate lab value range
22-26 Correct Answers what is the normal range for HCO3?
3.5-5.0 Correct Answers Potassium lab value range
35-45 Correct Answers what is the normal range for pCO2?
7.40 Correct Answers what is the normal pH of arterial blood?
9-11 Correct Answers Calcium lab value range
Aldosterone Correct Answers hormone that acts on kidneys,
sweat, & salivary glands; if increased, causes conservation of
Na, excretion of K+, and H2O; if decreased, causes loss of Na
and eventually H2O. Stimulus is serum concentration of sodium.
Anti-diuretic hormone (ADH) Correct Answers hormone that
conserves water by promoting water reabsorption in the distal
tubules of the kidneys; stimulated by osmotic pressure of ECF
(primarily Na); controls osmotic pressure of the extracellular
fluid
, Appropriate clinical nursing care for hypercalcemia Correct
Answers prevention includes Increase client mobility, Teach
patient to avoid massive Vitamin D supplementation. To correct
Administer loop diuretics (Lasix) as ordered, Administer IV
normal saline (isotonic) as ordered. To prevent complications
while correcting, Ensure adequate hydration to decrease
possibility of renal calculi formation; Maintain an acid urine;
Handle patient gently when transferring or repositioning to
prevent pathological fractures
Appropriate clinical nursing care for hyperkalemia Correct
Answers prevention includes monitor IV infusions of K+,
evaluate renal fx before administering K+ via IV, avoid salt
substitutes for pt with renal probs, teach pts about foods/fluids
high in K+. To correct give fluids to increase urinary output, IV
NaHCO3 base, hypertonic glucose infusion to stimulate release
of insulin, administer K+ wasting diurectics, admin Kayexalate,
withhold drugs that contain large amts of K+, decrease dietary
sources of K+
appropriate clinical nursing care for hypermagnesemia Correct
Answers To prevent, teach patients careful management of
Mg++ containing antacids and laxatives, Teach patients with
renal problems to avoid preparations containing Mg++. To
prevent complications and correct safely, Give fluids to increase
urinary output (patients with impaired renal function will require
dialysis); Withhold preparations containing large amounts of
Mg++, Keep 10% calcium gluconate, a magnesium antagonist,
available for emergency use
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