2. You have completed diet teaching with a patient who has hypernatremia. Which statement by the patient causes concern?

3. A patient with Cushing’s Syndrome has been experiencing an infection and has a fever of 38.8 Degree Celsius. On assessment, you find the patient to be confused, restless, has dry mucous membranes, and flushed skin. Which finding below correlates with the presentation of this patient?

4. A patient has a sodium level of 119. Which of the following is NOT related to this finding?

5. A patient has a potassium level of 9.0. Which nursing intervention is priority?

6. A patient is presenting with an orthostatic blood pressure of 80/40 when she stands up, thready and weak pulse of 58, and shallow respirations. In addition, the patient has been having frequent episodes of vomiting and nausea and is taking hydrochlorothiazide. Which of the following findings would explain the patient’s condition?

7. A patient with nasogastric suctioning is experiencing diarrhea. The patient is ordered a morning dose of Lasix 20mg IV. Patient’s potassium level is 3.0. Which of the following options is correct?

8. A patient is presenting with metabolic alkalosis. Lab results are back and the patient’s bicarb level is 53 mEq/L. What other lab result would correlate with this finding?

9. Which patient below is at risk for developing hyperchloremia?

10. A patient has a chloride level of 63 mEq/L. The patient is experiencing lethargy, confusion, spasms of muscles, and has a blood pressure of 90/54. What other lab finding below correlates with these findings?

11. A patient's calcium level is 6.9. Which of the following is a nursing priority?

12. A patient is recovering from parathyroid surgery. Morning labs values are back. Which of the following lab values would correlate as a complication from this type of surgery?

13. A patient is being discharged home after hospitalization for hypocalcemia. Which statement by the patient indicates she understood the dietary instructions?

14. A nurse is reviewing the laboratory results for a client with a potassium level of 6.1 mEq/L. What EKG findings would the nurse expect? Select all that apply.

15. A client with magnesium depletion has laboratory testing which showed a calcium level of 7.9 mg/dL. Which nursing interventions are most appropriate in this situation? Select all that apply.

16. A nurse is caring for a client who has had thyroid surgery. The client’s calcium result has returned at 7.5 mg/dL. Which nursing interventions are the most appropriate based on this calcium level? Select all that apply.

17. A client is being seen for care after developing abdominal distention, cramping, and hypotension. The client is diagnosed with hypokalemia secondary to excessive use of diuretics. Which of the following nursing interventions is most appropriate for this client?

18. A patient is admitted to the ER. The patient receives dialysis on Tuesdays and Thursdays of every week, and presents with a palpable AV shunt (thrill present) in the left upper arm. The patient is extremely lethargic and family members are present to help answer questions. While collecting the patient’s medication history the daughter states her mother has been taking “a lot” of Maalox lately due to upset stomach. You note this to be a significant finding. Which of the following lab values correlates with this finding?

19. A patient’s magnesium level is 0.9. The doctor orders Magnesium Sulfate IV. Which nursing intervention takes PRIORITY?

20. A patient undergoing treatment for Rhabdomyolysis a with phosphate level of 6.0 is about to eat their dinner. What food from their food tray would you remove due to it high contents of phosphate?