WorksheetsLP 1 & 2 Review Quiz
Total questions: 20
Worksheet time: 20mins
The client is taking a medication that inhibits aldosterone secretion and release. The nurse assesses for what potential complication?
Pulmonary edema
Hyperkalemia
Increased fluid volume status
Hypernatremia
Which assessment does the nurse use to determine the adequacy of circulation in a client whose serum osmolality is 250 mOsm/L?
Measuring urine output
Measuring abdominal girth
Monitoring fluid intake
Comparing radial versus apical pulses
A client in the ED has a potassium of 2.9 mEq/L. For which disease process or condition does the nurse assess the client?
Diabetes mellitus
Addison's disease
Hyperaldosteronism
Diabetes insipidus
A client has been treated for hypokalemia. Which clinical manifestation or condition indicates that treatment has been effective?
Having a bowel movement daily
Gaining 2 lb during the past week
ECG showing inverted T-waves
Fasting blood glucose level of 106 mg/dL
The nurse notes that the handgrip of the client with hypokalemia has diminished since the previous assessment one hour ago. Which action by the nurse is the priority?
Assess the client's respiratory rate, rhythm, and depth
Ask the client when their last bowel movement was
Document findings and monitor the client
Call the health care provider
When taking the blood pressure of a very ill client, the nurse observes that the client's hand undergoes flexion contractions. Which intervention is most appropriate?
Administer isotonic intravenous fluids
Remove the blood pressure cuff and give oxygen
Ensure the client has a patent intravenous line
Document the finding in the client's chart
Which client is at greatest risk for developing hypercalcemia?
Client taking furosemide (Lasix) for heart failure
Client with long-standing osteoarthritis
Woman who is pregnant with twins
Client with hyperparathyroidism
A client is admitted to the ED following a seizure with the following findings: heart rate of 110, BP of 80/62, urinary output of 25 ml/hr and sodium level of 160 mEq/L. Which of the following interventions do you expect the provider to order for this client?
Fluid restriction and daily weights
5% dextrose in water (D5W) at 75 ml/hr and monitor urinary output
Administer 40 mg IV furosemide STAT
5% dextrose in 0.9% NS at 100 ml/hr and monitor urinary output
Which of the following symptoms would the nurse expect in a client with fluid volume deficit?
Crackles
Bounding pulse
Tachycardia
Bulging neck veins
Which of the following assessments of an adult client are desired outcomes for Fluid Volume Excess? (Select all that apply)
Full, bounding peripheral pulses
Flat neck veins with head of bed elevated to 45 degrees
Weight loss
Pitting edema
Lung sounds clear
Following bowel surgery, a client has been receiving normal saline IV fluids at 100 ml/hr, has an NG tube set to low intermittent suction, and is NPO. An assessment finding that would alert the nurse to a major electrolyte problem is
Weight gain
Numbness in extremities
A decreasing level of consciousness
A serum sodium level of 138 mEq/L
A client is admitted to the ED with a 102 F temperature and a history of vomiting and diarrhea for 48 hours. Which manifestations would the nurse be likely to discover during the focused assessment for this client's likely fluid imbalance?
Edema, tearless cry, and bradycardia
Orthostatic hypotension, lethargy, and dry tongue
Weight loss, dilute urine, and peripheral edema
Dry skin, thready pulse, and neck vein distention
An older adult patient who is malnourished presents to the ED with a low serum protein level. The nurse would expect which clinical manifestation?
Pallor
Edema
Confusion
Restlessness
A client is experiencing persistent vomiting. The nurse should monitor which laboratory results?
Sodium and potassium levels
Magnesium and sulfate levels
Potassium and phosphate levels
Calcium and phosphate levels
A nurse is caring for a client who is admitted to the ED with trauma and significant blood loss. The client is hypotensive with tachycardia. Which IV solutions should the nurse identify as appropriate for this client? (Select all that apply)
0.9% NaCl
5% dextrose in 0.45 NaCl
0.45% NaCl
3% NaCl
Lactated Ringers
A nurse is caring for a client who has developed acute respiratory acidosis. The nurse reviews the client's STAT lab values. Which electrolyte value should concern the nurse the most?
Calcium
Sodium
Magnesium
Potassium
A client is admitted for treatment of SIADH. Which nursing intervention is appropriate?
Infusing IV fluids rapidly as ordered
Encouraging increased oral intake
Restricting fluids
Administering glucose containing IV fluids as ordered
The nurse is reviewing ABGs of a client admitted with DKA. The nurse would expect the ABGs to show which of the following?
pH: 7.50, PCO2: 35, HCO3: 30
pH: 7.21, PCO2: 38, HCO3: 21
pH: 7.35, PCO2: 41, HCO3: 25
pH: 7.21, PCO2: 70, HCO3: 30
A client with a magnesium level of 3.6 would exhibit the following signs and symptoms EXCEPT
Hypotension
Lethargy
Respiratory failure
Increased DTR
A client's calcium level is 11.2. Which option below could be the cause?
This calcium level is normal
Cushing's syndrome
Hydrochlorothiazide
Hypoparathyroidism
