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Fluids and Electrolytes Acid Base Balance

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

A burn ICU nurse receives a new admission with burns over 30% of the body. The client is sedated, receiving IV pain medication, and edematous. Which of the following is the nurse’s main concern?

a)

Hypovolemic Shock

b)

Pain Management

c)

Wound care

d)

Indwelling catheter care

2.

A client who is in the hospital has been ordered to receive mannitol IV. Based on the nurse’s understanding of this drug, the nurse knows that mannitol is used for management of the following, except?

a)

Reducing the amount of pressure in the eye

b)

Relieving excess swelling in the brain

c)

Treating excess fluid accumulation due to kidney conditions

d)

Acting as a filter through hemodialysis

3.

The floor nurse is reviewing lab results for a client with syndrome of inappropriate antidiuretic hormone (SIADH) and notes a sodium level of 132 mEq/L. The nurse continues to monitor the client closely for which of the following abnormal signs/symptoms?

a)

Decreased level of consciousness

b)

Bilateral pupil constriction to light

c)

Complaints of excessive thirst

d)

Palpitations in the chest

4.

The nursing student is learning about the tonicity of a solution, and discovers that 0.45% NaCl is a hypotonic solution. The student correctly understands that this is which of the following?

a)

Less concentrated than blood

b)

More concentrated than plasma

c)

More concentrated than blood

d)

The same concentration as plasma

5.

Which element would be added to total parenteral nutrition to support osmotic pressure in the circulatory system?

a)

Chloride

b)

Potassium

c)

Calcium

d)

Vitamin D

6.

Osmotic pressure refers to which of the following?

a)

A concentration gradient

b)

A pushing pressure

c)

A pulling force

d)

A pressure potential

7.

A nursing student is priming IV tubing to administer 0.9% Normal Saline to a client. The preceptor asks the student the implications of giving an isotonic solution. Which response by the student is correct?

a)

An isotonic solution has the same osmolarity as blood

b)

An isotonic solution has less osmolarity than blood

c)

An isotonic solution has more osmolarity than blood

d)

An isotonic solution has a different tonicity than blood

8.

Protein inside the bloodstream is pulling water into the vessels. This is referred to as which type of pressure?

a)

Oncotic pressure

b)

Osmotic pressure

c)

Hydrostatic pressure

d)

Static pressure

9.

The nurse checks a client’s blood glucose level and the result is higher than normal (hyperglycemia). Which of the following pressures would be at play in this client’s bloodstream?

a)

Osmotic pressure

b)

Static pressure

c)

Hydrostatic pressure

d)

Oncotic pressure

10.

A nurse is caring for a client with hypokalemia as a result of long-term steroid therapy. Based on this diagnosis, which of the following signs or symptoms would the nurse expect to see?

a)

Nausea and diarrhea

b)

Hypertension

c)

Hypoglycemia

d)

Fatigue and muscle weakness

11.

The nurse is caring for 4 clients, all of whom have insulin scheduled. Which client will need insulin first?

a)

A client with a potassium of 6.2

b)

A client with a magnesium of 1.8

c)

A client with a POC glucose of 60

d)

A client with a POC glucose of 145

12.

A nurse in the ICU is working with a 67-year-old client with a potassium level of 2.9 mEq/L. An hour after admission to the hospital, the client develops a cardiac arrhythmia. The rhythm on the monitor shows pulseless electrical activity (PEA). Which action should the nurse perform first?

a)

Start CPR by using chest compressions at a rate of 100 per minute

b)

Charge the defibrillator to administer a shock

PEA is a non-shockable rhythm.

c)

Administer adenosine and place the client in the recovery position

d)

Flaccidity

13.

A nurse is assessing a client and notes confusion, numbness and tingling and abdominal distention. The nurse suspects hypomagnesemia. Upon evaluating the client’s electrolyte levels, which of the following results would the nurse expect to find with this condition?

a)

Phosphorus 5.5 mg/dL

b)

Calcium 9.1 mg/dL

c)

Potassium 5.2 mEq/L

d)

Sodium 139 mEq/L

14.

A nurse is performing a full assessment for a client who reports feeling occasionally confused. An abdominal assessment reveals distention and the client reports diarrhea times 2 days. A neuro exam reveals evidence of muscle twitching and the client reports numbness and tingling. The nurse suspects hypomagnesemia. Which question by the nurse would be most appropriate to determine a possible cause for this condition?

a)

"Do you drink alcohol every day?"

b)

“Do you smoke cigarettes every day?"

c)

“Do you drink milk every day?"

d)

“Do you take recreational drugs every day?"

15.

The nurse is caring for a client with celiac disease who has developed hypomagnesemia from malabsorption. Which sign or symptom would the nurse expect to see with this condition?

a)

Respiratory depression

b)

Twitches and hyperreflexia

c)

Hypotension

d)

Cardiac arrest