Exam 3 Review Flashcards
The nurse is collecting data from a client. Which symptom described by the client is characteristic of a symptom of benign prostatic hyperplasia?
A. Increased force of stream
B. Constipation
C. Flank pain
D. Weak urinary stream
Answer: D
The nurse is reviewing a client’s record and notes that the primary health care provider has documented that the client has chronic kidney disease. On review of the laboratory results, the nurse most likely would expect to note which finding?
A. Elevated creatinine level
B. Increased hemoglobin level
C. Elevated red blood cell count
D. Increased number of white blood cells in the urine
Answer: A
What labs would you expect to see with fluid volume deficit related to dehydration? SATA
A. H/H: Increased
B. BUN: Decreased
C. Creatinine: Increased
D. Specific Gravity: Increased
Answer: A, D
What would you expect to see in a patient with fluid volume deficit? SATA
A. Decreased skin turgor
B. Tachycardia
C. Increased BP
D. Weight Gain
E. Moist, pink mucous membranes
Answer: A,B
A client with a sodium level of 125 might display which clinical manifestations? SATA
A. Muscle cramps
B. Thirst
C. Headaches
D. Seizures
E. Dry mucous membranes
Answer: A,C,D
What CM might you see in a patient with a sodium level of 155? SATA
A. Diarrhea
B. Thirst
C. Dry mucous membranes
D. Decreased reflexes
E. Headache
Answer: B,C,D,E
A patient presents to the ED with altered mental status. As the nurse, what lab would you suspect and what is a priority precaution? SATA
A. Potassium 5.8
B. Sodium 117
C. Place patient on a telemetry monitor
D. Initiate seizure precautions
Answer: B, D
What is your major concern with a patient whose calcium levels are 19?
A. Seizure
B. Muscle cramps
C. Cardiac Arrest
D. Nausea
Answer: C
On morning assessment of your patient who has severe burns. You notice that fluid is starting to accumulate in his abdomen. You note that his weight has not changed and his intake and output is equal. What do you suspect?
A. Third spacing
B. This is normal and expected after a burn and it is benign
C. Document this finding as non-pitting abdominal edema.
Answer: A
Rationale: Third-spacing is the accumulation of trapped extracellular fluid in a body space
Where is most fluid lost (biggest player for fluid output)?
A. Kidneys
B. Liver
C. GI
D. Emesis
Answer: A
Where is the fluid accumulation happening when a pt is experiencing peripheral edema?
A. Within the blood vessels
B. Interstitial spaces
C. Within body cavities
D. Inside the cells
Answer: B
Third spacing?
What is the most common cause of third spacing?
A. Excessive fluid
B. Low sodium
C. Hypoalbuminemia
D. Low potassium
Answer: C
What is the most effective treatment for third spacing?
A. Albumin infusions
B. Hypertonic fluid infusions
C. Paracentesis
D. Hypotonic fluid infusions
Answer: A
If you notice a distended neck vein in a pt receiving IV fluids what would be your concern?
A. Hypovolemia
B. Hypervolemia
C. Dehydration
D. Hyponatremia
Answer: B
Examples of pre renal injury causes
HYPOVOLEMIA
hemorrhage, dehydration, Shock states
