WorksheetsFluid and Electrolytes
Total questions: 20
Worksheet time: 10mins
Which patient would MOST likely require a PICC line?
A patient in the ICU
A trauma patient in the ER
Patient requiring 2 iron infusions at infusion center
A patient requiring 6 weeks of IV antibiotics
Which electrolyte imbalance is possible with massive blood transfusions?
Hypomagnesemia
Hypokalemia
Hyponatremia
Hypocalcemia
A patient with a low normal potassium level has 40 mg IV furosemide due, what should the nurse do?
Notify the physician
Recheck potassium in 4 hours
Administer as ordered
Encourage pt to eat a banana with lunch
What is an appropriate intervention for hypervolemia?
5% Albumin 500 mL
Furosemide 40 mg IV
0.9 NS at 75 mL per hour
Encourage po fluids
Informed consent is required prior to a blood transfusion
True
False
Possibly
Not sure
A patient with 2 days of n/v has a BP 90/52 HR 120. Which intervention is most appropriate?
Furosemide 40 mg IV
2 units packed red blood cells
IV bolus of 0.45% NaCl
IV bolus of 0.9% NaCl
Which assessment finding would indicate hypocalcemia?
Constipation
Negative Trousseau's
Positive Chvostek's
Extreme muscle weakness
Which medication would the nurse administer to treat a patient with hyperkalemia?
Potassium chloride
Spironolactone
Sodium tabs
Regular Insulin IV (with dextrose)
Which patient is at risk for hypochloremia?
Excessive vomiting
Dehydration
Excessive sodium intake
Hyper-parathyroidism
A patient with hypertension should avoid which foods?
Eggs
Dairy products
Seafood
Cured meats
A patient's K+ is 6.4, what should the nurse do first?
Administer 1 gram Mg IVPB
Place patient on cardiac monitor
Turn on bed alarm
Call for stat dialysis
A patient that has a chloride imbalance, the nurse would expect to see a change in what?
Sodium
Potassium
Phosphate
Calcium
Which patient is at most risk for hypervolemia?
A 22-year-old receivng IV fluids
A 32-year-old with pneumonia
A 52-year-old with vomiting and diarrhea
A 72-year-old with a fever and UTI
Water intoxication causes hypernatremia
True
False
I think so
Doubtful
A dialysis patient may take the following medication to lower phosphorus levels?
Potassium phosphate (Neutra-Phos)
Spironolactone (Aldactone)
Calcium acetate (PhosLo)
Potassium chloride (Klor-con)
What is the best nursing intervention for a patient with hypernatremia?
Encourage po fluids
Administer sodium tabs po
Encourage pt to eat lunch meat and sausage
Fluid restriction
Which patient would receive a slow infusion of 3% saline?
Severe hypercalcemia
Severe hypernatremia
Severe hypocalcemia
Severe hyponatremia
A patient with hypoparathyroidism should increase what in their diet?
Salty foods
Seafood
Dairy
Bananas
A patient reports drinking large amounts of water on a hot day. Pt complains of a headache. Which electrolyte imbalance is expected?
Hyperchloremia
Hypokalemia
Hypercalcemia
Hyponatremia
What is the most important nursing intervention for a patient with hypermagnesemia?
Continuous pulse oximetry
Seizure precautions
Fall precautions
Move patient with a sheet
