Fluids and Electrolytes

Front

The nurse is administering 1 unit of blood to a patient on the oncology unit. The nurse hung the blood at 8am. What time does the blood administration need to be complete?

Back

12:00pm

Answer explanation

the maximum administration time for 1 unit of blood is 4 hours.

Front

When the nursing care plan indicates that a client is to be weighed regularly, what is the most important to consider?

Back

When the client was weighed before

Answer explanation

weights

1. Same time of day

2. Same method (same scale)

Daily weights usually occur before breakfast

Any weight change +/- 3lbs in 24 hours or +/- 5 lbs in a week

Front

When a nurse monitors a client receiving a blood transfusion, which is the most indicative that the client is experiencing a transfusion reaction during the first 15 minutes of the infusion? Options: the client feels an urgent need to urinate, the client's blood pressure becomes low, localized swelling develops at the infusion site, the skin is pale at the site of the infusing blood

Back

the client's blood pressure becomes low

Answer explanation

Most transfusion reactions occur within the first 5-15 minutes

Monitor VS q 15 minutes

hypotension is a medical emergency. the pt may also have SOB, wheezing and anxiety. stop the blood infusion. Infuse saline at a rapid rate and call for assistance

Front

The nurse is evaluating the patient's evening lab values. Which of the following does the nurse identify as abnormal? Sodium 140, Calcium 9.5, Potassium 2.4, Magnesium 1.3

Back

Potassium 2.4

Answer explanation

Use the Lab Value chart that you received i class to answer questions about normal and abnormal lab values

Front

A 60-year-old female is diagnosed with hyperkalemia. Which assessment finding should the nurse expect to observe?

Back

Oliguria

Front

Hypernatremia due to all the list below, except: Excess water intake, Sweating, Diabetes insipidus, Burns

Back

Excess water intake

Front

Which assessment findings indicate that a client's treatment for fluid volume excess is effective? Options: Flat neck veins with the HOB elevated, Edema in legs is pitting, Full, bounding peripheral pulses, Presence of S3 heart sound

Back

Flat neck veins with the HOB elevated

Front

Which of the following is the most appropriate way to treat a client with fluid volume deficit? Options: Sodium restricted diet, Furosemide PO, IV fluids, Daily weight

Back

IV fluids

Front

The client's lab results come back as Na+ 140, K+ 3.0, Mg+ 1.7. The nurse knows these findings indicate which of the following?

Back

hypokalemia

Front

We lose fluids through: sweat, breath, feces, or all of the above?

Back

all of the above