ATI med surg: fluid, electrolyte, and acid-base questions with correct answers

A nurse is planning care for a client who has experienced excessive fluid loss. Which of the following interventions should the nurse include in the plan of care? A. Administer IV fluids evenly over 24 hr. B. Provide the client with a salt substitute. C. Assess for pitting edema. D. Encourage the client to rise slowly when standing up. E. Weigh the client every 8 hr. CORRECT ANSWER-A, D, E A nurse is caring for a client who has a serum sodium level of 155 mEq/L. Which of the following IV fluid prescriptions should the nurse anticipate administering? a. Dextrose 5% in 0.9% sodium chloride b. dextrose 5% in lactated ringer's c. 3% sodium chloride d. 0.45% sodium chloride CORRECT ANSWER-D. this pt is hypernatremic, so want to give a hypotonic solution The 0.45% sodium chloride is a hypotonic solution used to provide free water and treat cellular dehydration, which promotes waste elimination by the kidneys. A nurse is reviewing the lab report of a client who has fluid volume excess. Which of the following lab values should the nurse expect? a. Hemoglobin 20 g/dL. b. Hematocrit 34%. c. BUN 25 mg/dL. d. Urine specific gravity 1.050. CORRECT ANSWER-b. hematocrit 34% fluid volume excess will cause what in h