Fluid and Electrolytes

Which patient would MOST likely require a PICC line?

• A patient in the ICU

• A trauma patient in the ER

• Patient requiring 2 iron infusions at infusion center

• A patient requiring 6 weeks of IV antibiotics

Which electrolyte imbalance is possible with massive blood transfusions?

• Hypomagnesemia

• Hypokalemia

• Hyponatremia

• Hypocalcemia

A patient with a low normal potassium level has 40 mg IV furosemide due, what should the nurse do?

• Notify the physician

• Recheck potassium in 4 hours

• Administer as ordered

• Encourage pt to eat a banana with lunch

What is an appropriate intervention for hypervolemia?

• 5% Albumin 500 mL

• Furosemide 40 mg IV

• 0.9 NS at 75 mL per hour

• Encourage po fluids

Informed consent is required prior to a blood transfusion

• True

• False

• Possibly

• Not sure

A patient with 2 days of n/v has a BP 90/52 HR 120. Which intervention is most appropriate?

• Furosemide 40 mg IV

• 2 units packed red blood cells

• IV bolus of 0.45% NaCl

• IV bolus of 0.9% NaCl

Which assessment finding would indicate hypocalcemia?

• Constipation

• Negative Trousseau's

• Positive Chvostek's

• Extreme muscle weakness

Which medication would the nurse administer to treat a patient with hyperkalemia?

• Potassium chloride

• Spironolactone

• Sodium tabs

• Regular Insulin IV (with dextrose)

Which patient is at risk for hypochloremia?

• Excessive vomiting

• Dehydration

• Excessive sodium intake

• Hyper-parathyroidism

A patient with hypertension should avoid which foods?

• Eggs

• Dairy products

• Seafood

• Cured meats