Ch. 18- ATI Fundamentals Book Ch. 57 & 58

Question 1

57-1. A nurse is performing an assessment on a client who has hypovolemia due to vomiting and diarrhea. The nurse should expect which of the following findings? (Select all that apply.)

A. Hyperthermia
B. Bradycardia
C. Orthostatic hypotension
D. Distended neck veins
E. Decreased skin turgor

Answer 1

A. Hyperthermia
C. Orthostatic hypotension
E. Decreased skin turgor

Question 2

57-2. The nurse is reviewing the data on the client who has hypovolemia. The nurse should identify which of the following findings is a manifestation of hypovolemia?

A. Increased Hct
B. Increased blood pressure
C. Decreased urine specific gravity
D. Decreased urine output
E. Increased sodium level

Answer 2

A. Increased Hct
D. Decreased urine output
E. Increased sodium level

Question 3

57-3. The nurse is planning care for the client who is admitted to an acute care facility with dehydration.
What actions should the nurse include in the plan?

Answer 3

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Question 4

57-4. A nurse is teaching a class about fluid imbalances. Sort the following manifestations into either Hypovolemia or Hypervolemia.

A. Breath sounds with crackles
B. Weight gain
C. Decreased urine specific gravity
D: Flat neck veins
E. Sunken eyeballs

Answer 4

Hypovolemia:
D: Flat neck veins
E. Sunken eyeballs

Hypervolemia:
A. Breath sounds with crackles
B. Weight gain
C. Decreased urine specific gravity

Question 5

57-5. A nurse on a medical-surgical unit is caring for a group of clients. Sort the following clients to those at risk for Hypovolemia or those at risk for Hypervolemia.

A. A client who has nasogastric suctioning
B. A client who is taking diuretics
C. A client who has syndrome of inappropriate antidiuretic hormone
D. A client who has cirrhosis

Answer 5

Hypovolemia:
A. A client who has nasogastric suctioning
B. A client who is taking diuretics

Hypervolemia:
C. A client who has syndrome of inappropriate antidiuretic hormone
D. A client who has cirrhosis

Question 6

58-1. A nurse is planning care for a client who has hypernatremia. What actions should the nurse include in the plan of care?

Answer 6

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Question 7

58-2. A nurse is planning caring for a client who has a potassium level of 5.2 mEq/L. What actions should the nurse plan to take?

Answer 7

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Question 8

58-3. A nurse is reviewing the electronic medical record of a client who has an electrolyte imbalance. Match the electrolyte imbalance to the associated risk factor.

A. Hypernatremia
B. Hyponatremia
C. Hypocalcemia
D. Hypercalcemia

1. Diabetes insipidus
2. Hypoparathyroidism
3. Hyperparathyroidism
4. Excessive water intake

Answer 8

A:1
B:4
C:2
D:3

Question 9

58-4. The nurse is reviewing the medical record of the client. The nurse should identify which of the following findings is a risk factor for the development of hypocalcemia? (Select all that apply.)

A. Bariatric surgery
B. Diarrhea
C. Thyroid cancer
D. Diabetes mellitus
E. Hyperlipidemia

Answer 9

A. Bariatric surgery
B. Diarrhea
C. Thyroid cancer

Question 10

58-5. A nurse is teaching a class about electrolyte imbalances. Match the electrolyte imbalance to the clinical manifestation.

A. Hypocalcemia
B. Hypomagnesemia
C. Hypernatremia
D. Hyperkalemia

1. Dry swollen tongue
2. Hypertension
3. Tingling around mouth
4. Muscle weakness

Answer 10

A:3
B:2
C:1
D:4