Jeopardy

Question 1

Hypertonic / Isotonic / Hypotonic:

0.45% Sodium Chloride

Answer 1

Hypotonic

Question 2

Hypertonic / Isotonic / Hypotonic:

10% Dextrose

Answer 2

Hypertonic

Question 3

What type of IV solution is given with blood transfusions?

Answer 3

Normal Saline (NS) 0.9%

Question 4

Fluid that is hypertonic outside the body but hypotonic once infused

Answer 4

D5 1/2 NS (Body absorbs the glucose and leaves 1/2 NS which is hypotonic.)

Question 5

A patient with hypocalcemia has a calcium level below:

Answer 5

9

Question 6

A patient with hypercalcemia could use which non-pharmacological intervention to help reabsorb the calcium?

Answer 6

Passive range of motion

Question 7

For a patient with a calcium level of 14, the priority would be to administer:

Answer 7

Calcitonin (it TONES DOWN the calcium in the blood stream.

Question 8

Which sign is a contraction of facial muscles in response to a light tap over the facial nerve in front of the ear?

Answer 8

Chvostek Sign

Question 9

Which sign is a carpal spasm induced by inflating a blood pressure cuff above the systolic pressure for a few minutes?

Answer 9

Trousseau Sign

Question 10

For a potassium level of 5.7, which oral medication would you administer?

Answer 10

Kayexalate

Question 11

For a potassium level of 3.2, which diuretic would you administer?

Answer 11

Spironolactone (Potassium sparing)

Question 12

A patient is given 40 mg Furosemide and now has low, shallow respirations, dysrhythmia (EKG shows a U-wave), lethargic, leg camps and muscle weakness. What do you anticipate their potassium level will be?

Answer 12

Low.

Question 13

Which medication should never be given IVP?

Answer 13

Potassium

Question 14

For a patient with an Na level of 122, what is the nurse’s priority?

Answer 14

Place the patient on a fluid restriction

Question 15

If a patient’s sodium level is 180, what can you anticipate their skin will look like?

Answer 15

Dry / tented.

Question 16

Which levels would be considered hypernatremia?

Answer 16

Greater than 145.

Question 17

For a patient with hyponatremia, what fluid would you anticipate the physician ordering?

Answer 17

3% Saline (Only given in the ICU)

Question 18

When administering Iv Mg, which medication should you always have on hand?

Answer 18

Calcium gluconate

Question 19

A patient’s magnesium level is 0.9. The doctor orders Magnesium Sulfate IV. Which nursing intervention takes priority?

Answer 19

Monitoring deep tendon reflexes (Neuromuscular changes include reduced or absent deep tendon reflexes)

Question 20

What can cause hypomagnesemia?

Answer 20

Malnutrition, starvation, diarrhea, Celiac disease, Crohn’s disease, medications

Question 21

A patient is admitted to the ER. The patient receives dialysis on Tuesdays and Thursdays of every week and presents with a palpable AV shunt (thrill present) in the left upper arm. The patient is extremely lethargic, and family members are present to help answer questions. While collecting the patient’s medication history, the daughter states her mother has been taking “a lot” of Maalox lately due to an upset stomach. You note this to be a significant finding. What would you expect this patients Mg level to look like?

Answer 21

Mg will be elevated. It is excreted in the kidneys; since pt is on dialysis, kidneys retain mg

Question 22

A patient has tented skin with a weak and thready pulse. They are pale with a dry mouth.

Answer 22

Fluid volume deficit / dehydration

Question 23

Labs that reflect dehydration:

Answer 23

Elevated BUN, urine specific gravity and creatinine

Question 24

You are the nurse working in the ER. The patient in bay 5 is screaming for water every 5 min. The patient is agitated and slurred speech. The patient has a psych history and has been hospitalized multiple times. The Na level is 119; which condition would you suspect this patient has?

Answer 24

Water intoxication / dilutional hyponatremia

Question 25

Our patient is overloaded. New orders are : Fluid restriction 1500 mL/24hrs, Furosemide 40 mg, Albuterol. Home meds are: ASA 81 mg, Colace 100 mg and Digoxin 0.25. What should I be concerned about?

Answer 25

Digoxin, since the furosemide is K depleting and low K can cause digoxin toxicity.