TopHat in-class Week 2 - F&E Flashcards
fluid calculation
The patient with renal failures shows a weight gain of 2 kg since the last appointment. The nurse recognizes that the patient is retaining how many liters of fluid?
A - 0.5
B - 1
C - 2
D - 3
C - 2
organs and fluid loss
Mark all that apply: The patient presents with chronic lung disease accompanied by a fever and vomiting. As a result the nurse understands that the patient is loosing additional fluid through…
Multiple answers:
You can select more than one option
A - kidneys
B - lungs
C - skin
D - gastrointestinal tract
B - lungs
C - skin
D - gastrointestinal tract
priority electrolyte value
The nurse is reviewing a patient’s morning lab results. Which result is of highest concern?
A - Serum Na+ of 150 meq/L
B - Serum K+ of 3.1 meq/L
C - Serum Mg+ of 4.0 mg/dL
D - Serum Ca+ of 10.0 mg/dl
C - Serum Mg+ of 4.0 mg/dL
urinalysis results
The nurse is assessing the urine on a patient who is dehydrated. Which urine result supports the patient’s condition?
A - Urine is cloudy
B - Urine specific gravity is 1.032
C - Urine contains protein
D - Urine pH is 7.5
B - Urine specific gravity is 1.032
Nursing diagnosis - F&E
The patient is manifesting signs such as HR bounding, crackles in lungs bilaterally, and edema in the lower extremities. Which nursing diagnosis is most appropriate for this patient’s condition?
A - Alteration in cardiac output
B - Fluid volume excess
C - Impaired gas exchange
D - Alteration in urinary output
B - Fluid volume excess
FVE - findings
A patient is diagnosed with fluid volume excess. Which assessment findings support this nursing diagnosis? Select all that apply
Multiple answers:
You can select more than one option
A - BUN 6 mg/dL
B - Heart rate: 95
C - Blood pressure: 140/90
D - Creatinine 1.0 mg/dL
A - BUN 6 mg/dL
C - Blood pressure: 140/90
ab electrolyte v/d
The client has been vomiting and has numerous episodes of diarrhea. Which lab test should the nurse monitor?
A - Serum calcium
B - Serum phosphorus
C - Serum potassium
D - Serum creatinine
C - Serum potassium
patient with hyponatremia
The clinic nurse is assessing the following patients. Which one would the nurse expect to have a low sodium level?
A - A 5-year old with vomiting and diarrhea for the past twenty-four hours.
B - A 45-year old marathon runner who is drinking water because of excessive sweating after a long run
C - A 60-year old taking prednisone for lung disease
D - A 10-year old eating potato chips and pretzels.
B - A 45-year old marathon runner who is drinking water because of excessive sweating after a long run
F&E - magnesium
Which patient condition should have the highest priority for teaching regarding foods that contain magnesium?
A - Severe hemorrhage
B - Diabetes insipidus
C - Adrenal insufficiency
D - Oliguric renal disease
D - Oliguric renal disease
F&E - K+
The patient’s laboratory report today indicates severe hypokalemia. Nursing assessment indicates that heart rhythm is irregular. In addition to notifying the health care provider, which action should the nurse take next?
A - Examine heel area for skin breakdown
B - Establish seizure precautions
C - Institute fall precautions
D - Administer Kayexelate
B - Establish seizure precautions
electrolytes - kidneys & decrease blood flow
A patient is experiencing hypotension and the nurse closely monitors the patients electrolytes in response to decreased blood flow to the kidneys. Which electrolytes should the nurse closely monitor as a result of kidney’s response to this decrease blood flow?
A - Sodium, calcium and phosphorus
B - Sodium, potassium and chloride
C - Calcium phosphorus and magnesium
D - Magnesium, potassium and sodium
B - Sodium, potassium and chloride
F&E - Priority
Which patient fluid & electrolyte finding should the nurse report immediately to the physician?
A - Swollen ankles in the patient with chronic heart failure
B - Positive Chvostek’s sign in the patient with Vitamin D deficiency
C - Constipation in the patient with advanced bone cancer
D - Increased thirst in the patient taking a new diuretic
B - Positive Chvostek’s sign in the patient with Vitamin D deficiency
F&E - assessment - lab
The patient is receiving tube feedings due to a jaw surgery. What change in assessment findings should prompt the nurse to request an order for serum sodium level? A - Development of ankle or sacral edema B - Increased blood pressure C - Postural hypotension and bradycardia D - Decreased level of consciousness
D - Decreased level of consciousness
priority action
An adult patient is brought into the emergency room with a head laceration and is bleeding profusely. Her left ankle is deformed and splinted. The patient’s vital signs are BP 98/50, HR 116, RR 18. What is the first action by the nurse?
A - Start an IV line for fluids
B - Check pedal pulses on the injured leg
C - Get the ECG and place on cardiac monitor
D - Check her neurological status
A - Start an IV line for fluids
The nurse is questioning the hydration status of Frank. Which action should the nurse take first to confirm if Frank is experiencing fluid volume deficit?
A - Assess the heart rate
B - Check the serum Creatinine level
C - Measure urine output during the last hour
D - Ask Frank how much water he consumed in the last 4 hours
A - Assess the heart rate