WorksheetsFLUID AND ELECTROLYTES
Total questions: 7
Worksheet time: 7mins
An older adult client is experiencing difficulty with edema and fluid overload. What nursing intervention would be the most accurate in evaluating the client’s fluid balance?
Measure the I+O
Check for thirst and skin turgor
Evaluate changes in daily weight
Evaluate vital signs q3h
The nurse is assisting a client to ambulate. Upon standing at the bedside, the client becomes weak and sits back down on the bed. The nurse should assess the client for what problem?
Sodium imbalance
Altered renal function
Fluid deficit
Hyperkalemia
You have completed diet teaching with a patient who has hypernatremia. Which statement by the patient causes concern?
“I will buy fresh vegetables and fruits.”
“I will avoid eating canned foods.”
“I’m glad I can still eat sandwiches with bologna.”
“I will avoid cooking with butter.”
A client is taking spironolactone (Aldactone) to control her hypertension. Her serum potassium level is 6 mEq/L. For this client, the nurse’s priority should be to assess which of the following?
Neuromuscular function
Bowel sounds.
Respiratory rate.
Electrocardiogram (ECG) results.
You are taking a patient's blood pressure manually. As you pump up the cuff above the systolic pressure for a few minutes you notice that the patient develop a carpal spasm. Which of the following is true?
This is known as Trousseau’s Sign and is present with hypocalcemia
This is known as Chvostek’s Sign and is present with hypocalcemia
This is known as Trousseau’s Sign and is present with hypercalcemia
The patient is having a normal nervous response to an inflating blood pressure cuff that is inflated above the systolic pressure
A patient has been undergoing chemotherapy for treatment of breast cancer. The patient has started to exhibit early signs of Tumor Lysis Syndrome (TLS). Which of the following nursing assessment findings correlates with TLS?
Phosphate level of 6.5
Phosphate level of 2.0
Phosphate level of 2.9
Phosphate level of 4.0
A patient presents to the ED with a magnesium level of 1.0mEq/dL. Which information would you expect to find in this patient’s health history?
Chronic alcoholism
Hyperthyroidism
Daily use of antacids and laxatives
Chronic hypoglycemia
