NURS 221 (With correct solution)

A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. The nurse should expect to find which of the following? (select all that apply) correct answers A.Tachycardia B. Syncope (spontaneous loss of consciousness with spontaneous recovery) C. Decreased skin turgor A nurse on a med surg unit is caring for a group of people. Which one is at risk for hypovolemia? correct answers A. The client who has nasogastric suctioning A nurse is reviewing the labs for a client who has an elevated temperature. Which of the following labs is a manifestation of dehydration? (select all that apply) correct answers A. Hct 55% C. Serum sodium 150 mEq/L D. Urine specific gravity 1.035 A nurse on a med surg unit is caring for a group of clients. Which should the nurse anticipate a prescription for fluid restriction? correct answers B. A client who has heart failure. This is due to the need to reduce the workload on the heart. A nurse is planning care for a client who has dehydration. Which of the following actions should the nurse include? correct answers B. Measure the client's weight each day Fluid volume excess correct answers The isotonic retention of water and sodium in high proportions. Can also be called hypervolemia due to the increase in blood volume Normal sodium level correct answers 136-145 mEq/L Normal potassium level correct answers 3.5-5 mEq.L Which electrolyte imbalance causes a flattened T wave and an ST depression? correct answers Hypokalemia Normal calcium level correct answers 9-10.5 mg/dL Normal Magnesium level correct answers 1.3-2.1 mEq/L A nurse is planning care for a client who has hypernatremia. Which of the following actions should the nurse anticipate including in the plan of care? correct answers A. Infuse hypotonic IV fluids. Since hypernatremia is caused by excess calcium in the blood, a hypotonic solution would move the fluid and sodium back into cells. A nurse is reviewing the medical record of a client who has hypocalcemia. The nurse should identify which of the following findings as risk factors for the development of this electrolyte