RATED A+ | 2026 |NEW
How are secre on of an diure c hormone (ADH) and the percep on of thirst s mulated?
Increase in plasma osmolality
The nurse is assessing a client who has been experiencing a high fever with excessive
perspira on and diarrhea, with a plasma sodium level of 150 mmol/L. Which clinical
manifesta on would the nurse associate with these assessment findings?
-Oliguria
Which arterial blood gas values should the nurse associate with a client repor ng surgical pain
who has a BP of 142/86, a heart rate of 104/minute, and a respiratory rate of 34/minute?
-pH 7.51, PCO2 29, HCO3- 24
Which mechanisms would promote homeostasis when the pH is 7.2? - acidic = build up of acids
and lack of breathing
-Kussmaul respira ons; kidneys reabsorb bicarbonate
A 26-year-old client has been admi6ed with suspected hyponatremia a7er drinking sevexral
litres of tap water in a couple of hours. What would the nurse assess for?
Lethargy, headache, confusion
Apprehension, seizures, coma
When trea ng fluid imbalances, which is the ul mate goal of care?
-To diagnose and correct the underlying cause
the nurse is caring for a client with a serum sodium level of 110 mmol/L. Which solu on will be
used to treat this condi on?
-0.9% sodium chloride
Which intravenous solu on ordered by the doctor replaces an intracellular fluid volume deficit?
-isotonic
What are the processes required to move large par cles and par cles with electrical charges
across membranes?
, -Diffusion and ac ve transport
A nurse is scheduled to administer a potassium supplement to a client. Which priority ac on
should the nurse take prior to administering the drug?
-Check the client's potassium level from the morning labs.
The nurse is caring for a client with an extracellular fluid volume deficit. The nurse is aware that
which compensatory mechanism is ini ated in the presence of an extracellular fluid volume
deficit?
-Ac va on of the renin-angiotensin-aldosterone system
-The nurse is caring for a client with chronic obstruc ve pulmonary disease who has
polycythemia (an increased number of RBCs). What is the most likely cause of this finding?
-Significant hypoxemia
Which laboratory value is most important for the nurse to report to the doctor?
-Potassium 2.9 mmol/
The nurse is assis ng a client to master the use of a steroid inhaler. The client says, "Can't I take
this in a pill form instead of an inhaler?" What informa on should be included in the nurse's
response?
Inhalers produce their effect locally, thus reducing adverse effects of the steroid
-A nurse is caring for four clients. Which client is at the highest risk of developing metabolic
alkalosis?
-A 20-year-old who has been regularly inducing themselves to vomit following binge ea ng
Which client is at greatest risk for an electrolyte imbalance?
-A 77-year-old with a urinary tract infec on
The nurse is caring for an orthopedic surgical client with mild intermi6ent asthma. During the
second postopera ve day, the client has an asthma a6ack while ea ng lunch. Which
classifica on of drug would the nurse an cipate to administer?
-A short-ac ng B2-adrenergic agonist
As a consequence of long-standing lung disease, a client is in a chronic state of hypoxia. The
nurse should an cipate which condi ons?