SAUNDERS STUDY GUIDE SUMMARY WITH
FULL SOLUTION QUESTIONS AND VERIFIED
ANSWERS 2026
‣ A client is at risk for developing hypocalcemia. The nurse determines
which signs are associated with this electrolyte disturbance? Select all
that apply. Answer: Positive Trousseau's sign, Fine tremors noted in
hands
‣ The nurse is caring for a client with a nasogastric tube in place for
gastric decompression. The primary health care provider (PHCP)
prescribes to have the tube irrigated once every 8 hours. Select the
correct interventions the nurse should utilize in performing this
procedure. Select all that apply. Answer: Utilize 30 mL of 0.9% normal
saline for the irrigating solution, After injecting the irrigating solution,
pull back on the irrigation syringe.
‣ The nurse is caring for a client who has been taking diuretics on a
long-term basis. Which finding should the nurse expect to note as a
result of this long-term use? Answer: Increased specific gravity of the
urine
‣ The nurse is caring for a group of clients on a clinical nursing unit. The
nurse interprets that which assigned clients are at risk for excess fluid
volume? Select all that apply. Answer: The client with renal failure, The
client with chronic cirrhosis
, ‣ The nurse is instructing a client on how to decrease the intake of
calcium in the diet. The nurse should tell the client that which food item
is least likely to contain calcium? Answer: Butter
‣ Which of these clients are most likely to develop fluid (circulatory)
overload? Select all that apply. Answer: A premature infant, A 101-year-
old man, A client with heart failure, A client receiving renal dialysis
‣ The nurse is caring for a client with kidney failure. The laboratory
results reveal a magnesium level of 3.6 mEq/L (1.8 mmol/L). Which
sign should the nurse expect to note in the client, based on this
magnesium level? Answer: Loss of deep tendon reflexes
‣ The nurse is caring for a client with hyperparathyroidism and notes that
the client's serum calcium level is 13 mg/dL (3.25 mmol/L). Which
prescribed medication should the nurse plan to assist in administering to
the client? Answer: Calcitonin
‣ The nurse is caring for a group of clients on a clinical nursing unit. The
nurse checks for signs of deficient fluid volume. Which clients are at
risk for this fluid imbalance? Select all that apply. Answer: A client with
pneumonia, A client with an ileostomy, A client with a temperature of
102.5° F (39.2° C)
‣ The metabolic panel of a client reveals a calcium level of 6.5 mg/dL
(1.6 mmol/L). Based on this laboratory finding, which additional data
specific to this calcium level should the nurse collect? Select all that
apply. Answer: Presence of Chvostek's sign, Presence of
FULL SOLUTION QUESTIONS AND VERIFIED
ANSWERS 2026
‣ A client is at risk for developing hypocalcemia. The nurse determines
which signs are associated with this electrolyte disturbance? Select all
that apply. Answer: Positive Trousseau's sign, Fine tremors noted in
hands
‣ The nurse is caring for a client with a nasogastric tube in place for
gastric decompression. The primary health care provider (PHCP)
prescribes to have the tube irrigated once every 8 hours. Select the
correct interventions the nurse should utilize in performing this
procedure. Select all that apply. Answer: Utilize 30 mL of 0.9% normal
saline for the irrigating solution, After injecting the irrigating solution,
pull back on the irrigation syringe.
‣ The nurse is caring for a client who has been taking diuretics on a
long-term basis. Which finding should the nurse expect to note as a
result of this long-term use? Answer: Increased specific gravity of the
urine
‣ The nurse is caring for a group of clients on a clinical nursing unit. The
nurse interprets that which assigned clients are at risk for excess fluid
volume? Select all that apply. Answer: The client with renal failure, The
client with chronic cirrhosis
, ‣ The nurse is instructing a client on how to decrease the intake of
calcium in the diet. The nurse should tell the client that which food item
is least likely to contain calcium? Answer: Butter
‣ Which of these clients are most likely to develop fluid (circulatory)
overload? Select all that apply. Answer: A premature infant, A 101-year-
old man, A client with heart failure, A client receiving renal dialysis
‣ The nurse is caring for a client with kidney failure. The laboratory
results reveal a magnesium level of 3.6 mEq/L (1.8 mmol/L). Which
sign should the nurse expect to note in the client, based on this
magnesium level? Answer: Loss of deep tendon reflexes
‣ The nurse is caring for a client with hyperparathyroidism and notes that
the client's serum calcium level is 13 mg/dL (3.25 mmol/L). Which
prescribed medication should the nurse plan to assist in administering to
the client? Answer: Calcitonin
‣ The nurse is caring for a group of clients on a clinical nursing unit. The
nurse checks for signs of deficient fluid volume. Which clients are at
risk for this fluid imbalance? Select all that apply. Answer: A client with
pneumonia, A client with an ileostomy, A client with a temperature of
102.5° F (39.2° C)
‣ The metabolic panel of a client reveals a calcium level of 6.5 mg/dL
(1.6 mmol/L). Based on this laboratory finding, which additional data
specific to this calcium level should the nurse collect? Select all that
apply. Answer: Presence of Chvostek's sign, Presence of
