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WorksheetsFunds Ch. 29: Fluids and Electrolytes
Total questions: 17
Worksheet time: 17mins
A nurse is caring for an older adult client who was admitted for dehydration. Which instruction will the nurse give to the client’s adult child to prevent this situation from happening again to the client?
“Tell your parent that water is the best fluid to drink.”
“Ask your parent to let you know when he or she would like something to drink.”
“Ask your parent if he or she is thirsty.”
“Encourage your parent to drink fluids throughout the day.”
A patient's blood calcium level is reading as 7.5 mg/dL. Which of the following signs and symptoms by the patient would the nurse anticipate? (Select all that apply)
Cardiac arrhythmia
Trousseau's sign
Irregular heart beat
Dry mouth
Chvostek sign
A patient's blood potassium comes back as 2.0 mEq/L. Which symptom exhibited by the patient would the nurse anticipate in seeing?
Positive chvostek's sign
Dry mouth
Cardiac arrhythmia
Positive trousseau's sign
A woman aged 58 years is suffering from food poisoning after eating at a local restaurant. She has had nausea, vomiting, and diarrhea for the past 12 hours. Her blood pressure is 88/50 and she is diaphoretic. She requires:
an access route to administer medications intravenously.
replacement of fluids for those lost from vomiting and diarrhea.
an access route to replace fluids in combination with blood products.
intravenous fluids to be administered on an outpatient basis.
A patient's blood sodium level comes back as 150 mEq/L and is now exhibiting restlessness and polydipsia. What is the patient experiencing?
hyponatremia
hypercalcemia
hypernatremia
hypokalemia
Which major systems in the body help maintain your acid-base balance? (Select all that apply)
Blood
Brain
Lungs
Muscles
Kidneys
Which of the following lab values is consistent with a patient exhibiting alkalosis?
7.46
7.35
7.25
7
Which of the following lab values is consistent with a patient exhibiting acidosis?
7.45
7.40
7.30
7.35
The nurse is caring for a client taking the diuretic furosemide. The nurse will be most concerned about which assessment finding?
Muscle spasms
Hypercalcemia
Low urine specific gravity
Constricted pupils
The nurse is receiving a client who is being admitted through the emergency department. The client is a roofer who became confused and disoriented while on a roof during the heat of the day. The nurse anticipates that which IV fluid may be included in the treatment plan?
Dextrose 5% in water (D5W)
Normal saline (NS)
0.45% normal saline
Sodium bicarbonate
The nurse is providing care for a client with a history of cardiac problems. The nurse notes the client’s potassium level is 3.6 mEq/L. The nurse understands that which reason supports the physician’s order for a daily dose of potassium?
The potassium is ordered to prevent the client from becoming hypokalemic.
The physician is attempting to increase urinary output to decrease cardiac stress.
The potassium is ordered in an attempt to prevent cardiac arrhythmias.
The client’s cardiac diet is deficient in foods with high potassium levels.
The nurse is providing care for a client admitted with fluid volume overload. Which nursing care will the nurse implement for this client? Select all that apply.
Monitor the effects of diuretic therapy.
Obtain a daily weight on the same scale.
Teach patient to eat foods high in sodium.
Assess intake and output results for imbalances.
Encourage oral fluid intake of at least 2,000 mL/d.
The nurse provides dietary teaching for a client diagnosed with hypomagnesemia. The nurse determines the teaching has been effective if the client discusses including which foods in the daily diet? Select all that apply.
Peanuts.
Oatmeal.
Flax seed.
Broccoli.
Bananas.
The nurse is caring for a client with a low serum calcium level. Which symptom of hypocalcemia is unexpected by the nurse?
Muscle twitching
Tingling around the mouth
Heart rate of 52 beats/min.
Confusion and disorientation
The nurse is caring for a client taking furosemide. The nurse recognizes that dietary teaching is successful if the client chooses which food?
Green beans
Grapes
Oranges
Zucchini
The nurse is counseling a young female client who is a long-distance runner. Which factor does the nurse recognize as the greatest risk for this client to develop dehydration?
Females will lose extra fluid volume due to menses.
Long distance runners lack the availability of fluids.
Sweating and hard breathing will cause fluid loss.
Excessive physical activity can cause vomiting and diarrhea.
The nurse is transferring a client to the intensive care unit (ICU) and reports the client is experiencing “third spacing.” Which manifestation will the ICU nurse expect to see?
Elevated body temperature
Large amounts of dilute urine
High blood pressure
Swelling in the extremities
