Fluid & Electrolyte Quiz Flashcards
The nurse reviews the initial laboratory test results for a newly admitted client. Which results should the nurse report to the healthcare provider? Select all that apply.
Sodium 122 mEq/L
Phosphorous 1.5 mg/dL
Calcium 9.5 mg/dL
Magnesium 1.1 mEq/L
Chloride 93 mEq/L
Sodium 122 mEq/L (135-145)
Phosphorous 1.5 mg/dL (3.0-4.5)
Magnesium 1.1 mEq/L (1.3-2.1)
Chloride 93 mEq/L (98-106)
The nurse is caring for a bedridden client who has a serum calcium level of 13 mg/dL. Which action is most appropriate?
Administer calcium gluconate IM as ordered.
Teach the client to increase intake of whole grains and nuts.
Place a tracheostomy tray at bedside.
Provide passive ROM exercises and encourage fluid intake.
Provide passive ROM exercises and encourage fluid intake.
Range of motion exercises promote the reabsorption of calcium into the bone.
A 75-year-old patient is admitted with dehydration and urinary tract infection (UTI). After an intravenous infusion (IV) of 750ML of 0.9% normal saline the patient begins to cough and asks for the head of the bed to be raised to ease breathing. The nurse’s assessment finds the patient has jugular vein distention (JVD) and that their respiratory rate increased from 12 to 20 breaths per minute (BPM). Which is the correct interpretation of this assessment data?
Fluid volume excess is developing.
The nurse is caring for a patient with a nursing diagnosis of fluid volume deficient related to excessive diaphoresis (sweating). Which client outcome/goal is assigned the highest priority?
This shift, the patient’s intake will equal their output.
The patients’ bedding will be changed when it becomes damp as needed throughout the shift.
The patient will verbalize and understand the importance of increased fluid intake.
The patient’s skin will remain clean dry and intact (CDI) throughout the shift.
This shift, the patient’s intake will equal their output.
A nurse reviews the electrolyte results of an assigned patient and notes that the potassium level is 5.4 mEq/L. Which electrolyte imbalance will the nurse identify?
Hyperkalemia
A nurse reviews a patient’s electrolyte laboratory report and notes that the Sodium level is 130 mEq/L. What electrolyte disorder will the nurse identify?
Hyponatremia
The patient’s most recent lab results reveal Sodium 136 mEq/L, Potassium 5.5 mEq/L, and Chloride 98 mEq/L. Based on the lab results, obtaining which assessment data is of the highest priority?
Capillary refill
Skin turgor
Heart rate and rhythm
Level of consciousness
Heart rate and rhythm
Which action will the nurse identify as being that of the electrolyte, Magnesium?
Facilitates neurochemical activity
Influences fluid volume
Assists with clotting and aggregation
Maintains a stable blood pressure
Facilitates neurochemical activity
