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Fluid & Electrolyte

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

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?

a)

Administer IV and oral fluids

b)

Monitoring WBC

c)

Accessing color, odor and amount of sputum

d)

Clustering activities throughout the day

2.

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?

a)

Whole grains and nuts

b)

Milk products and green, leafy vegetables

c)

Pork products and canned vegetables

d)

Orange juice and bananas

3.

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?

a)

Administering IV fluids

b)

Encouraging slow, deep breaths

c)

Preparing to administer sodium bicarbonate

d)

Administering oxygen via nasal cannula

4.

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?

a)

Tetany

b)

Paraesthesia

c)

Positive Chvostek's sign

d)

Positive Trousseau's sign

5.

Lab tests revealed that your patient’s sodium level is 170 mEq/L. Which clinical manifestation would you expect to assess?

a)

Tented skin turgor and thirst

b)

Muscle twitching and tetany

c)

Fruity breath and Kussmaul respirations

d)

Muscle weakness and paraesthesia

6.

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?

a)

Accessing I&O

b)

Monitoring ABG's

c)

Obtaining the clients weight weekly

d)

Maintaining IV therapy at the keep-vein-open rate

7.

Which client situation requires the nurse to discuss the importance of avoiding foods high in potassium?

a)

A 20 year old taking diuretics

b)

A 16 year old with an ileostomy

c)

A 16 year old with metabolic acidosis

d)

An 18 year old who has renal failure

8.

Genevieve is diagnosed with hypomagnesemia, which nursing intervention would be appropriate?

a)

Instituting seizure precaution to prevent injury

b)

Instructing client on the importance of preventing infection

c)

Avoiding the use of tight tourniquet when drawing blood

d)

Teaching the client the importance of early ambulation

9.

Which electrolyte would the nurse identify as the major electrolyte responsible for determining the concentration of the extracellular fluid?

a)

Potassium

b)

Chloride

c)

Sodium

d)

Magnesium

10.

Which clinical manifestation would lead the nurse to suspect that a client is experiencing hypermagnesemia?

a)

Increased respiratory rate and depth

b)

Hot flushed skin and diaphoresis

c)

Muscle pain and acute rhabdomyolysis

d)

Soft tissue calcification and hyperreflexia

11.

Joshua is receiving furosemide and Digoxin, which laboratory data would be the most important to assess in planning the care for the client?

a)

Sodium level

b)

Magnesium level

c)

Calcium level

d)

Potassium level

12.

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:

a)

High

b)

Low

c)

Within normal range

13.

Which of the following findings would the nurse expect to assess in hypercalcemia?

a)

Prolonged QRS complex

b)

Tetany

c)

Petechiae

d)

Renal calculi

14.

A patient in which of the following disorders is at high risk to develop hypermagnesemia?

a)

Insulin shock

b)

Nausea and vomiting

c)

Renal failure

d)

Hyperadrenalism

15.

Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte imbalance?

a)

Intake and output

b)

Skin turgor

c)

Cardiac rate and rhythm

d)

Osmotic pressure

16.

When assessing a patient for signs of fluid overload, the nurse would expect to observe:

a)

Vesicular lung sounds

b)

Bounding pulses

c)

Flat neck veins

d)

Poor skin turgor

17.

The physician has ordered IV replacement of potassium for a patient with severe hypokalemia. The nurse would administer this:

a)

By rapid bolus

b)

IV push

c)

Diluted in 100cc over 1 hour

d)

Diluted in 10cc over 10 minutes

18.

Which of the following findings would the nurse expect to assess in a patient with hypokalemia?

a)

Muscle cramps

b)

pH below 7.35

c)

Hypoglycemia

d)

Hypertension

19.

Normal serum sodium concentration ranges from:

a)

120-125 mEq/L

b)

125-130 mEq/L

c)

135-145 mEq/L

d)

140-148 mEq/L

20.

Nursing interventions for a patient with hyponatremia include:

a)

Restricting fluid intake

b)

Restricting sodium intake

c)

Encouraging water intake

d)

Administering hypotonic IV fluids

21.

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?

a)

"Metabolic acidosis can occur due to diabetic ketoacidosis."

b)

"Metabolic acidosis can occur in a client with myasthenia gravis."

c)

"Metabolic acidosis can occur in a client who has asthma."

d)

"Metabolic acidosis can occur due to stroke."

22.

You are reviewing the ABG for a client who has vomited for 24 hours. You should expect which of the following acid-base imbalances?

a)

Respiratory acidosis

b)

Respiratory alkalosis

c)

Metabolic acidosis

d)

Metabolic alkalosis

23.

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?

a)

ECG changes

b)

Constipation

c)

Polyuria

d)

Muscle hypertonicity

24.

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?

a)

Apply a blood pressure cuff to the client's arm

b)

Place the stethoscope bell over the clients carotid artery

c)

Tap lightly on the client's cheek

d)

Ask the client to lower their chin to their chest

25.

Which of the following IV fluids does the nurse recognize as not being isotonic?

a)

Lactated ringers

b)

0.9% NS

c)

D5W

d)

0.45% NS