NUR 2392 Practice Questions Exam 1 Winter 24

The nurse caring for a client with heart failure is notified by the hospital laboratory that the client's serum magnesium level is 1.0 mEq/L (0.5 mmol/L). Which would be the most appropriate nursing action for this client?

• Monitor the client for dysrhythmias.

• Encourage increased intake of phosphate antacids.

• Discontinue any magnesium-containing medications.

• Encourage intake of foods such as ground beef, eggs, or chicken breast.

Which has the highest sodium and chloride content?

• Extracellular fluid

• Intracellular fluid

• Interstitial fluid

• Synovial fluid

Which clinical manifestations should the nurse anticipate in a client with hyponatremia due to hypervolemia ? (Select all that apply)

• Muscle twitching

• Vertigo

• Seizures

• Positive Trousseaus's sign

• Abdominal cramping

Match the clinical manifestation with the oncologic emergency.

• Engorged vessels of the chest and neck

• Hypercalcemia

• Sodium level 126 mEq/L

• SVC Syndrome

• Oozing gums and IV sites

• SIADH

• K+ 6.4 mEq/L

• Sepsis and DIC

• Skeletal pain

• Tumor Lysis Syndrome

Which serum lab value does the nurse expect to see in a client with hyperkalemia?

• Calcium greater than 8.0 mEq/L

• Potassium greater than 3.5 mEq/L

• Calcium greater than 1.0 mEq/L

• Potassium greater than 5.1 mEq/L

Which are typical nursing assessment findings for a client with severe hypocalcemia? (Select all that apply)

• Hypertension

• Positive Chvostek's sign

• Diarrhea

• Prolonged ST interval

• Muscle spasms in the lower leg and feet

Which laboratory value indicates the client is experiencing complications associated with the surgical removal of the thyroid gland?

• Calcium 10.4 mEq/L

• Sodium 138 mEq/L

• Calcium 8.2 mEq/L

• Potassium 3.4 mEq/L

Identify common causes of electrolyte imbalances.

• Vomiting

• Hyponatremia

• SIADH

• Hyperkalemia

• Malnutrition

• Hypercalcemia

• Renal failure

• Hypomagnesemia

• Immobility

• Hypokalemia

A nurse administers 0.45% Normal Saline. Which statement best describes this solution?

• Hypertonic, will decrease intravascular fluid volume

• Hypotonic, will increase intracellular volume

• Isotonic, similar to body fluids, used to increase intravascular volume

• Hypertonic, pulls fluid from cells and interstitial space into the veins

While monitoring a client with fluid overload, which assessment findings requires immediate nursing intervention?

• Bounding pulse

• Neck vein distention

• Pitting edema of the feet

• Presence of crackles in the lungs