A client who is dehydrated is to receive an intravenous (IV) solution of normal saline to
be infused at 175 mL/hr. The drop factor of the IV set is 15
... [Show More] gtts/mL. At what drop rate
should the nurse adjust the flow to provide the prescribed solution? Record your answer
using a whole number. ___gtts/min - ANS-44
An 85-year-old client has a serum potassium level of 6.7 mEq/L. Which nursing action is
a priority at this time?
1 Monitor for cardiovascular irregularities.
2 Inquire about changes in bowel patterns.
3 Assess client for leg muscle twitching or weakness.
4 Assess client for signs and symptoms of dehydration - ANS-1 Monitor for
cardiovascular irregularities.
A nurse is evaluating a client's understanding of peritoneal dialysis. Which information in
the client's response indicates an understanding of the purpose of the procedure?
1 Reestablish kidney function
2 Clean the peritoneal membrane
3 Provide fluid for intracellular spaces
4 Remove toxins in addition to other metabolic wastes - ANS-4 Remove toxins in
addition to other metabolic wastes
A woman is brought to the emergency department by her husband. He is upset and
says, "She fainted in the kitchen. I'm so worried about her, because she's going to kill
herself if she keeps this up." A history is obtained from the husband, and the vital signs
and physical assessment data are collected by the nurse. What should the nurse do
next?
1 Offer her a small sandwich.
2 Auscultate the abdomen for bowel sounds.
3 Administer oxygen by way of nasal cannula.
4 Obtain a blood specimen for serum electrolytes - ANS-4 Obtain a blood specimen for
serum electrolytes
A nurse administers a parenteral preparation of potassium slowly and cautiously to
avoid which complication?
1 Acidosis
2 Cardiac arrest
3 Psychotic-like reactions
4 Edema of the extremities - ANS-2 Cardiac arrest
A nurse is caring for a 3-month-old infant who was admitted to the pediatric unit with
severe dehydration caused by diarrhea. After fluid and electrolyte balance is restored,
Lactobacillus granules (Lactinex) are prescribed. The nurse expects this medication to:
1 Help expel gas.
2 Relieve pain caused by hyperacidity.
3 Recolonize flora in the intestinal tract.
4 Diminish inflammatory mucosal edema - ANS-3 Recolonize flora in the intestinal tract.
A client has been admitted with a diagnosis of intractable vomiting and can only tolerate
sips of water. The initial blood work shows a sodium level of 122 mEq/L and a
potassium level of 3.6 mEq/L. Based on the lab results and symptoms, what is the client
experiencing?
1 Hypernatremia
2 Hyponatremia
3 Hyperkalemia
4 Hypokalemia - ANS-Correct2
Hyponatremia
A man who has 40% of the body surface area burned is admitted to the hospital. Fluid
replacement of 7200 mL during the first 24 hours has been prescribed. The nurse
calculates that the hourly intravenous (IV) fluid should be: ___ mL/hr (Record your
answer using a whole number) - ANS-300
A school-aged child with acute glomerulonephritis has fluid intake restricted to the
previous day's output plus 40 mL. The child's output over the past 24 hours was 140
mL. From 3 pm to 11 pm the child is to receive one third of the total daily fluid permitted.
How much fluid should the nurse provide for the evening intake?
1 60 mL
2 70 mL
3 80 mL
4 90 mL - ANS-Correct1
60 mL
A client admitted for uncontrolled hypertension and chest pain was started on a daily
diuretic two days ago upon admission, with prescriptions for a daily basic metabolic
panel. The client's potassium level this morning is 2.7 mEq/L. Which action should the
nurse take next?... [Show Less]