1601 Pharm - Fluid and Electrolyte
Replacement NCLEX Style Questions
Already Passed
A patient with hyperkalemia is being treated with sodium bicarbonate. What is the nurse's
primary concern while administering this treatment?
a) Risk of developing metabolic alkalosis
b) Possible hypogly...
1601 Pharm - Fluid and Electrolyte
Replacement NCLEX Style Questions
Already Passed
A patient with hyperkalemia is being treated with sodium bicarbonate. What is the nurse's
primary concern while administering this treatment?
✔✔a) Risk of developing metabolic alkalosis
b) Possible hypoglycemia
c) Hypokalemia from over-correction
d) Risk of hypercalcemia due to fluid shifts
A nurse is caring for a patient who has been experiencing severe vomiting and diarrhea. Which
of the following symptoms would indicate a potential electrolyte imbalance?
✔✔a) Muscle weakness and irregular pulse
b) Low-grade fever and headache
c) Decreased urine output and rash
d) Involuntary eye movements and dizziness
A patient has received a bolus of IV fluids for dehydration and now reports feeling faint. What is
the nurse’s first action?
1
,✔✔a) Check the patient’s blood pressure and heart rate
b) Administer oxygen to improve perfusion
c) Increase the IV fluid rate
d) Document the finding and continue monitoring
A patient with chronic kidney disease is admitted with low serum calcium levels. Which of the
following interventions should the nurse anticipate?
✔✔a) Administer calcium gluconate IV
b) Increase the patient’s intake of potassium-rich foods
c) Initiate a sodium bicarbonate drip
d) Start oral magnesium supplements
A patient is being treated for fluid overload after receiving a high volume of IV fluids. What is
the best way for the nurse to monitor for signs of fluid retention?
✔✔a) Measure the patient’s weight daily
b) Assess the patient’s blood glucose levels
c) Monitor urinary output for any changes
d) Check serum sodium levels regularly
2
, A nurse is preparing to administer a potassium-sparing diuretic to a patient with heart failure.
Which of the following should the nurse assess before administration?
✔✔a) Serum potassium levels
b) Serum glucose levels
c) Serum magnesium levels
d) Blood urea nitrogen (BUN) levels
A nurse is caring for a patient with third-spacing and severe edema. Which of the following
should the nurse expect to see in the patient’s laboratory results?
✔✔a) Decreased serum albumin levels
b) Elevated red blood cell count
c) Low creatinine clearance
d) Elevated sodium levels
A patient with dehydration is receiving IV fluids. After 2 hours, the nurse notes a decrease in the
patient's heart rate but an increase in blood pressure. What could this indicate?
✔✔a) Improvement in circulatory volume
b) Hypervolemia leading to fluid retention
3
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