WorksheetsFluid & Electrolyte
Total questions: 25
Worksheet time: 13mins
A patient with tented skin turgor, dry mucous membranes and decreased urinary output is under your care. Which nursing intervention should be included in his plan of care?
Administer IV and oral fluids
Monitoring WBC
Accessing color, odor and amount of sputum
Clustering activities throughout the day
A patient is admitted to the hospital due to having lower than normal K+ levels. Her medical history reveals vomiting and diarrhea prior to hospitalization. Which of the following foods should the nurse encourage her to increase?
Whole grains and nuts
Milk products and green, leafy vegetables
Pork products and canned vegetables
Orange juice and bananas
Mary Jean, a first year nursing student, was rushed to the clinic department due to hyperventilation. Which nursing intervention is the most appropriate for the client who is subsequently developing respiratory alkalosis?
Administering IV fluids
Encouraging slow, deep breaths
Preparing to administer sodium bicarbonate
Administering oxygen via nasal cannula
Marie Joy’s lab test revealed that her serum calcium is 2.5 mEq/L. Which assessment data does the nurse document when a client diagnosed with hypocalcemia develops a carpopedal spasm after the blood-pressure cuff is inflated?
Tetany
Paraesthesia
Positive Chvostek's sign
Positive Trousseau's sign
Lab tests revealed that your patient’s sodium level is 170 mEq/L. Which clinical manifestation would you expect to assess?
Tented skin turgor and thirst
Muscle twitching and tetany
Fruity breath and Kussmaul respirations
Muscle weakness and paraesthesia
A client with a very dry mouth, skin, and mucous membranes is diagnosed with dehydration. Which intervention should the nurse perform when caring for a client diagnosed with fluid volume deficit?
Accessing I&O
Monitoring ABG's
Obtaining the clients weight weekly
Maintaining IV therapy at the keep-vein-open rate
Which client situation requires the nurse to discuss the importance of avoiding foods high in potassium?
A 20 year old taking diuretics
A 16 year old with an ileostomy
A 16 year old with metabolic acidosis
An 18 year old who has renal failure
Genevieve is diagnosed with hypomagnesemia, which nursing intervention would be appropriate?
Instituting seizure precaution to prevent injury
Instructing client on the importance of preventing infection
Avoiding the use of tight tourniquet when drawing blood
Teaching the client the importance of early ambulation
Which electrolyte would the nurse identify as the major electrolyte responsible for determining the concentration of the extracellular fluid?
Potassium
Chloride
Sodium
Magnesium
Which clinical manifestation would lead the nurse to suspect that a client is experiencing hypermagnesemia?
Increased respiratory rate and depth
Hot flushed skin and diaphoresis
Muscle pain and acute rhabdomyolysis
Soft tissue calcification and hyperreflexia
Joshua is receiving furosemide and Digoxin, which laboratory data would be the most important to assess in planning the care for the client?
Sodium level
Magnesium level
Calcium level
Potassium level
Lee Angela’s lab test just revealed that her sodium level is 139 mEq/L. As a nurse, you would interpret this serum chloride level as:
High
Low
Within normal range
Which of the following findings would the nurse expect to assess in hypercalcemia?
Prolonged QRS complex
Tetany
Petechiae
Renal calculi
A patient in which of the following disorders is at high risk to develop hypermagnesemia?
Insulin shock
Nausea and vomiting
Renal failure
Hyperadrenalism
Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte imbalance?
Intake and output
Skin turgor
Cardiac rate and rhythm
Osmotic pressure
When assessing a patient for signs of fluid overload, the nurse would expect to observe:
Vesicular lung sounds
Bounding pulses
Flat neck veins
Poor skin turgor
The physician has ordered IV replacement of potassium for a patient with severe hypokalemia. The nurse would administer this:
By rapid bolus
IV push
Diluted in 100cc over 1 hour
Diluted in 10cc over 10 minutes
Which of the following findings would the nurse expect to assess in a patient with hypokalemia?
Muscle cramps
pH below 7.35
Hypoglycemia
Hypertension
Normal serum sodium concentration ranges from:
120-125 mEq/L
125-130 mEq/L
135-145 mEq/L
140-148 mEq/L
Nursing interventions for a patient with hyponatremia include:
Restricting fluid intake
Restricting sodium intake
Encouraging water intake
Administering hypotonic IV fluids
A nurse is assisting with the delivery of an educational activity for nurses on the unit about conditions related to metabolic acidosis. Which of the following statements by a nurse indicates the teaching has been effective?
"Metabolic acidosis can occur due to diabetic ketoacidosis."
"Metabolic acidosis can occur in a client with myasthenia gravis."
"Metabolic acidosis can occur in a client who has asthma."
"Metabolic acidosis can occur due to stroke."
You are reviewing the ABG for a client who has vomited for 24 hours. You should expect which of the following acid-base imbalances?
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
The nurse is caring for a client with a blood K+ of 5.4 mEq/L. The nurse should monitor for which of the following manifestations?
ECG changes
Constipation
Polyuria
Muscle hypertonicity
A nurse is collecting data from a client for Chvostek's sign. Which of the following techniques should the nurse use to perform this test?
Apply a blood pressure cuff to the client's arm
Place the stethoscope bell over the clients carotid artery
Tap lightly on the client's cheek
Ask the client to lower their chin to their chest
Which of the following IV fluids does the nurse recognize as not being isotonic?
Lactated ringers
0.9% NS
D5W
0.45% NS
