ATI Fluid, Electrolyte, and Acid-Base Targeted Exam

6/25/2021 ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Terms in this set (30) A nurse is assessing a client Cardiac rhythm who has a serum calcium level of 8.1 mg/dL. Which of the When using the airway, breathing, circulation following findings is the priority approach to client care, the nurse should first assess for the nurse to assess? the client's cardiac rhythm because this total serum calcium level is below the expected reference -Deep tendon reflexes range. Hypocalcemia can cause ECG changes, -Cardiac rhythm bradycardia, or tachycardia. -Peripheral sensation -Bowel sounds ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 1/18 6/25/2021 ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet A nurse is caring for a client pH 7.51, PaO2 94 mm Hg, PaCO2 36 mm Hg, HCO3- who requires nasogastric 31 mEq/L suctioning. Which of the following sets of laboratory An elevated pH and HCO3- with a PaCO2 either results indicates that the client elevated or within the expected reference range has metabolic alkalosis? indicates metabolic alkalosis. -pH 7.51, PaO2 94 mmHg, PaCO2 36 mmHg, HCO3- 31 mEq/L -pH 7.48, PaO2 89 mmHg, PaCO2 30 mmHg, HCO3- 26 mEq/L -pH 7.31, PaO2 77 mmHg, PaCO2 52 mmHg, HCO3- 23 mEq/L -pH 7.26, PaO2 84 mmHg, PaCO2 38 mmHg, HCO3- 20 mEq/L A nurse is caring for a client Bounding peripheral pulses who has dehydration and is receiving IV fluids. When The nurse should recognize that increased vascular assessing for complications, volume results in full, bounding peripheral pulses. the nurse should recognize which of the following manifestations as a sign of fluid overload? -Increased urine specific gravity -Hypoactive bowel sounds -Bounding peripheral pulses -Decreased respiratory rate ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 2/18 6/25/2021 A nurse is caring for a client ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet Initiate high-flow oxygen therapy. who is experiencing respiratory distress as a result of When using the airway, breathing, circulation pulmonary edema. Which of approach to client care, the nurse should first the following actions should administer high-flow oxygen therapy by face mask the nurse take first? at 5 to 6 L/min to keep the client's oxygen saturation above 90%. -Assist with intubation -Initiate high-flow oxygen therapy -Administer a rapid-acting diuretic -Provide cardiac monitoring A nurse is admitting a client 0.9% sodium chloride with 10 mEq/L of potassium who takes 40 mg furosemide chloride at 100 mL/hr daily for heart failure and has experienced 3 days of This IV solution will provide adequate fluid and vomiting. The nurse suspects potassium replacement to offset the losses from hypokalemia. Which of the vomiting. The typical amount of potassium chloride following medications should to administer IV is 5 to 10 mEq/hr and not to exceed the nurse prepare to 20 mEq/hr. The dilution should be 1 mEq to 10 mL of administer? 0.9% sodium chloride. -Sodium polystyrene sulfonate 30 g/day -0.9% sodium chloride with 10 mEq/L of potassium chloride at 100 mL/hr -Bumetanide 8 mg/day -100 mL of dextrose 10% in water with 10 units of insulin ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 3/18 6/25/2021 A nurse is admitting a client ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet Respiratory acidosis who has status asthmaticus. The client's ABG results are pH 7.32, Status asthmaticus causes inadequate gas PaO2 74 mmHg, PaCO2 56 exchange, resulting in a low pH and PaO2, an mmHg, and HCO3- 26 mEq/L. elevated PaCO2, and an HCO3- within the expected The nurse should interpret reference range. These laboratory values indicate these laboratory values as respiratory acidosis. which of the following imbalances? -Respiratory acidosis -Respiratory alkalosis -Metabolic acidosis -Metabolic alkalosis A nurse is assessing a client Mental status who has dehydration. Which of the following assessments is The greatest risk to this client is injury from a fall due the priority? to a decline in the client's mental status. Therefore, assessing the client's mental status is the nurse's -Skin turgor priority. -Urine output -Weight -Mental status ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 4/18 6/25/2021 A nurse is caring for a client ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet Potassium 6.1 mEq/L who requires continuous cardiac monitoring. The nurse Hyperkalemia, defined as a potassium level above identifies a prolonged PR 5.0 mEq/L, can cause a prolonged PR interval, a interval and a widened QRS wide QRS complex, flat or absent P waves, and tall, complex. Which of the peaked T waves. following laboratory values supports this finding? -Sodium 152 mEq/L -Chloride 102 mEq/L -Magnesium 1.8 mEq/L -Potassium 6.1 mEq/L While reviewing a client's Implement seizure precautions. laboratory results, a nurse notes a serum calcium level of The client is at risk for seizures due to low excitation 8.0 mg/dL. Which of the threshold as a result of a decreased calcium level. following actions should the The nurse should initiate seizure precautions to nurse take? prevent injury. -Implement seizure precautions -Administer phosphate -Initiate diuretic therapy -Prepare the client for hemodialysis ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 5/18 6/25/2021 A nurse is providing dietary ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet 1 large hard-boiled egg teaching to a client who has kidney disease. Which of the One large hard-boiled egg contains 5 mg of following food choices should magnesium. Therefore, the nurse should recommend the nurse include in the this food as containing the lowest amount of teaching as containing the magnesium. lowest amount of magnesium? -1 large hard boiled egg -1 cup bran cereal - 1/2 cup almonds - 1 cup cooked spinach A nurse is assessing a client Hyperactive deep-tendon reflexes who has hypomagnesemia. Which of the following findings Hyperactive deep-tendon reflexes is an expected should the nurse expect? finding for a client who has hypomagnesemia. Other expected findings include muscle cramps, -Hyperactive deep-tendon numbness, and tingling. reflexes -Increased bowel sounds -Drowsiness -Decreased blood pressure ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 6/18 6/25/2021 A nurse is reviewing the ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet Serum potassium 3.0 mEq/L medical record of a client who has diabetes mellitus and is This serum potassium level is below the expected receiving regular insulin by reference range. Hypokalemia is a serious continuous IV infusion to treat complication that can occur when a client who has diabetic ketoacidosis. Which of diabetic ketoacidosis is receiving insulin to treat the the following findings should condition. The nurse should report this finding to the the nurse report to the provider. provider? -Urine output of 30 mL/hr -Blood glucose of 19=80 mg/dL -Serum potassium 3.0 mEq/L -BUN 18 mg/dL ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 7/18 6/25/2021 ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet A nurse is reviewing the ABG pH 7.26, PaO2 84 mm Hg, PaCO2 38 mm Hg, results for four clients. Which of HCO3- 20 mEq/L the following findings should the nurse identify as metabolic A pH below 7.35 is an indication of acidosis. HCO3- acidosis? below 22 mEq/L is an indication of metabolic acidosis. - pH 7.51, PaO2 94 mm Hg, PaCO2 38 mm Hg, HCO3- 29 mEq/L - pH 7.48, PaO2 89 mm Hg, PaCO2 30 mm Hg, HCO3- 24 mEq/L - pH 7.36, PaO2 77 mm Hg, PaCO2 52 mm Hg, HCO3- 26 mEq/L - pH 7.26, PaO2 84 mm Hg, PaCO2 38 mm Hg, HCO3- 20 mEq/L ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 8/18 6/25/2021 ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet A nurse is providing teaching "When I sit down to watch television, I'll be sure to for a client who has venous put my feet up." insufficiency of the lower extremities. Which of the Venous insufficiency makes it difficult for blood flow following statements by the to return to the heart. Elevating her feet will increase client indicates an the return. The client should elevate her feet for at understanding of the teaching? least 20 min several times per day. -"If my stockings feel tight, I'll just roll them down for a while." -"I'll put on my elastic stockings at the first sign of swelling." -"When I sit down to watch television, I'll be sure to put my feet up." -"It's okay to cross my legs as long as it's for less than an hour." A nurse is providing dietary 1 cup plain yogurt teaching to a client who has heart failure and is receiving One cup of plain yogurt contains 380 g of furosemide. Which of the potassium. Therefore, the nurse should recommend following food should the this food as containing the greatest amount of nurse recommend as potassium. containing the greatest amount of potassium? -1/2 cup chopped celery -1 cup plain yogurt -1 slice whole grain bread -1/2 cup cooked tofu ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 9/18 6/25/2021 A nurse is caring for a client ATI Fluid, Electrolyte, and Acid-Base Targeted Exam Flashcards | Quizlet 0.45% sodium chloride who has a sodium level of 155 mEq/L. Which of the following A sodium level of 155 mEq/L is an indication of IV fluids should the nurse hypernatremia. The nurse should anticipate a anticipate the provider to prescription for a hypotonic solution. The 0.45% prescribe? sodium chloride is a hypotonic solution used to provide free water and treat cellular dehydration, -Dextrose 5% in 0.9% sodium which promotes waste elimination by the kidneys. chloride -Dextrose 5% in lactated Ringer's -3% sodium chloride -0.45% sodium chloride A nurse is assessing a client Slow peripheral pulses who has a phosphorus level of 2.4 mg/dL. Which of the This phosphorus level is below the expected following findings should the reference range. The nurse should expect the client nurse expect? to have slow peripheral pulses. The nurse might also find that the client's pulses are difficult to find and -Hepatic failure easy to block. -Abdominal pain -Slow peripheral pulses -Increase in cardiac output ATI Fluid, Electrolyte, and Acid-Base Targeted Exam 10/18