ALL important chapters Key Questions Flashcards
Which of the following electrolytes are most affected by low magnesium levels? Select all that apply.
A. Calcium
B. Chloride
C. Hydrogen
D. Potassium
E. Sodium
calcium + potassium
The nurse is caring for a client who has a serum potassium level of 2.9 mEq/L. Which assessment is appropriate?
A. Asking about the use of sugar substitutes
B. Determining what drugs are taken daily
C. Assessing for Chvostek sign
D. Assessing for a history of kidney disease
B. Determining what drugs are taken daily
Which client would the nurse monitor closely for the development of respiratory acidosis?
A. Client who continually takes antacids
B. Client receiving IV normal saline bolus
C. Client whose urinary output has increased
D. Client with rib fractures following a motor vehicle accident
D. Client with rib fractures following a motor vehicle accident
The grasp strength of a client with metabolic acidosis has diminished since the previous assessment 1 hour ago. Which action would the nurse take first?
A. Determine the oxygen saturation.
B. Measure pulse and blood pressure.
C. Notify the Rapid Response Team.
D. Apply humidified oxygen by nasal cannula.
A. Determine the oxygen saturation.
The nurse is caring for a client on Friday. The client had a short peripheral intravenous catheter (short PIVC) inserted earlier in the week on Tuesday. Which action would the nurse take?
A. Replace the short PIVC.
B. Assess the PIVC insertion site.
C. Discontinue the short PIVC.
D. Convert the short PIVC to a saline lock.
B. Assess the PIVC insertion site.
The nurse is caring for a 44-year-old client who requires IV fluid replacement. The nurse has one unsuccessful attempt when inserting a short peripheral IV catheter. What action would the nurse take next?
A. Consult the IV therapy team.
B. Ask a colleague to attempt.
C. Attempt insertion a second time.
D. Notify the provider of limited IV access.
C. Attempt insertion a second time.
