NR324 Adult Health I Practice Questions with
Verified Correct Answers
the concentration of blood or urine
What is osmolality?
135-145
What is the normal range for sodium?
3.5-5.0
What is the normal range for potassium?
9.0-10.5
What is the normal range for calcium?
1.3-2.1
What is the normal range for magnesium?
0.6-1.2
What is the normal range for creatinine?
10-20
What is the normal range for BUN?
280-295
What is the normal range for osmolality?
1.010-1.025
What is the normal range for urine specific gravity?
,37%-52%
What is the normal range for hematocrit?
hyponatremia
What electrolyte imbalance?
Manifestations:
- s/s seen in FVE
- changes in LOC
- decreased deep tendon reflexes
- increased GI motility (hyperactive bowels)
Nursing management:
- remove fluid
- monitor I&O's
hypernatremia
What electrolyte imbalance?
Manifestations:
- s/s seen in FVD
- changes in LOC
- muscle weakness and cramping
- thirsty
- low grade fever
,Nursing management:
- replace fluid
- oral care
- monitor I&O's
hypokalemia
** think low and slow for manifestations
What electrolyte imbalance?
Risk factors:
- NG suctioning, vomiting, diarrhea
- alkalosis
- furosemide
Manifestations:
- confusion and drowsy
- life threatening dysrhythmias, thready pulse, shallow respirations
- muscle weakness and cramps in legs
- decreased intestinal motility (constipation)
- flattened T waves
Nursing management:
- cardiac monitor
hyperkalemia
, What electrolyte imbalance?
Risk factors:
- kidney failure, hypoaldosteronism
- acidosis
- burn or crush injuries
- spirolactone and ACE inhibitors
Manifestations:
- irritability and anxiety
- fatigue
- life threatening dysrhythmias, decreased BP
- muscle weakness, restlessness, paresthesia
- abdominal cramping, diarrhea
- wide QRS, tall T
Nursing management
- give kayexalate to increase excretion of potassium
- insulin and albuterol (helps push potassium into cells)
- dialysis
- cardiac monitor
- calcium gluconate
- loop diuretics
hypercalcemia
Verified Correct Answers
the concentration of blood or urine
What is osmolality?
135-145
What is the normal range for sodium?
3.5-5.0
What is the normal range for potassium?
9.0-10.5
What is the normal range for calcium?
1.3-2.1
What is the normal range for magnesium?
0.6-1.2
What is the normal range for creatinine?
10-20
What is the normal range for BUN?
280-295
What is the normal range for osmolality?
1.010-1.025
What is the normal range for urine specific gravity?
,37%-52%
What is the normal range for hematocrit?
hyponatremia
What electrolyte imbalance?
Manifestations:
- s/s seen in FVE
- changes in LOC
- decreased deep tendon reflexes
- increased GI motility (hyperactive bowels)
Nursing management:
- remove fluid
- monitor I&O's
hypernatremia
What electrolyte imbalance?
Manifestations:
- s/s seen in FVD
- changes in LOC
- muscle weakness and cramping
- thirsty
- low grade fever
,Nursing management:
- replace fluid
- oral care
- monitor I&O's
hypokalemia
** think low and slow for manifestations
What electrolyte imbalance?
Risk factors:
- NG suctioning, vomiting, diarrhea
- alkalosis
- furosemide
Manifestations:
- confusion and drowsy
- life threatening dysrhythmias, thready pulse, shallow respirations
- muscle weakness and cramps in legs
- decreased intestinal motility (constipation)
- flattened T waves
Nursing management:
- cardiac monitor
hyperkalemia
, What electrolyte imbalance?
Risk factors:
- kidney failure, hypoaldosteronism
- acidosis
- burn or crush injuries
- spirolactone and ACE inhibitors
Manifestations:
- irritability and anxiety
- fatigue
- life threatening dysrhythmias, decreased BP
- muscle weakness, restlessness, paresthesia
- abdominal cramping, diarrhea
- wide QRS, tall T
Nursing management
- give kayexalate to increase excretion of potassium
- insulin and albuterol (helps push potassium into cells)
- dialysis
- cardiac monitor
- calcium gluconate
- loop diuretics
hypercalcemia
