Fluid and Electrolytes

Which electrolyte is most closely related to fluid balance?

• Chloride

• Potassium

• Sodium

• Calcium

Tags

NGSS.HS-LS1-3

Which of these assessment findings would be most important to report to the healthcare provider for a client with a serum sodium of 147 mEq/L?

• Dry mucous membranes

• Complaints of thirst

• Urine output decreased from 95 mL/hr to 40 mL/hr.

• Skin is warm to touch

Tags

NGSS.HS-LS1-3

Which of these orders it the priority plan for a client who has a sodium level of 148 mEq/L?

• Administer sodium polystyrene sulfonate (Kayexalate).

• Administer sodium bicarbonate as prescribed.

• Administer 3% Sodium Chloride as prescribed.

• Administer 0.45 Normal Saline IV fluids as prescribed.

Which of these assessment findings would be most consistent with a serum sodium level – 128 mEq/L. Select all that apply

• Hypotension

• Constipation

• Decreased deep tendon reflexes (DTR's)

• Hyperactivity

What is the priority of care for a client with a sodium level of 132 mEq/L, BP – 150/90, weight gain of 2 lbs. in last 24 hours and has an order to push PO fluids?

• Review the plan with the charge nurse,

• Develop a plan for the CNA to administer 60 mL of oral fluids per hour.

• Notify the provider of care and verify the order.

• Review the importance of recording weight every 48 hours.

Which nursing intervention would be most appropriate to delegate to the tech/CNA for a client with a serum sodium of 148 mEq/L?

• Restrict p.o. water intake.

• Evaluate effectiveness of diuretic.

• Provide oral hygiene every 2-4 hours

• Provide a snack of cheese and crackers.

Which nursing intervention is the priority for a client with a serum sodium of 152 mEq/L?

• Administer IF fluids: 0.9% NS (Sodium Chloride) as ordered.

• Place suction at the bedside

• Monitor Intake and output.

• Limit water intake.

What is the priority nursing intervention for a client with a serum sodium level 128 mEq/L?

• Have suction at the bedside

• Encourage water intake to 2000 mL/day

• Question order for IV NS.

• Restrict cheese and condiments

What would be the priority lab value to report to the healthcare provider for a client who has an IV infusing of 0.9% NaCl at 115 mL/hour; has a nasogastric tube to suction, a colostomy, and is becoming restless?

• Creatinine – 1.2 mg/dL.

• Hemoglobin – 14 g/dL, Hematocrit 58%.

• Specific gravity of urine – 1.029.

• Serum sodium – 153 mEq/L.

What lab report would indicate that an elderly client with dementia has not been drinking enough fluids?

• Creatinine – 1.5 mg/dL.

• Hemoglobin – 14 mg/dL, Hematocrit 42%

• Serum sodium – 153 mEq/L.

• Urine specific gravity – 1.003.