TEST BANK FOR MEDICAL SURGICAL NURSING QUESTIONS AND ANSWERS

TEST BANK FOR MEDICAL SURGICAL NURSING QUESTIONS AND ANSWERS A client has a history of alcoholism, has been vomiting large amounts and has diarrhea. He has ECG changes, dysrhythmias, tremors and neuromuscular hyperirritability with hyperactive deep tendon reflexes. This client has __________________ electrolyte imbalance. - CORRECT ANSWER- hypomagnesaemia An elderly client has recently been prescribed a loop diuretic for the management of CHF and is experiencing polyuria and diaphoresis. She is weak and fatigued with N&V, has paresthesia, decreased deep tendon reflexes and dysrhythmias. This client has __________________________ electrolyte imbalance. - CORRECT ANSWER- hypokalemia A client has a diagnosis of multiple myeloma. Upon med review, the client has found to be taking thiazide diuretics and excessive amounts of vitamin D. Signs and symptoms are bone pain, N&V, depressed (hypoactive) reflexes and lethargy. This client has _______________________ electrolyte imbalance. - CORRECT ANSWER- hypercalcemia A client has a history of alcoholism and anorexia nervosa. She is assessed and found to be weak and confused with shallow respirations. She reports muscular and bone pain making ambulation difficult. This client has ____________________ electrolyte imbalance - CORRECT ANSWER- hypophosphatemia A client's fluid status is easily best determined by monitoring daily weight - True or False - CORRECT ANSWER- True A patient has hypernatremia and will require a(n) ____________ solution for management. - CORRECT ANSWER- Hypotonic A patient has cerebral edema. A(n) _________________ solution will be given. - CORRECT ANSWER- Hypertonic A patient is diagnosed with dehydration. A(n) _____________ solution will be given to maintain fluid & electrolyte balance - CORRECT ANSWER- Isotonic Normal Values for: Potassium - CORRECT ANSWER- 3.5-5 mmol/l Normal Values for: Calcium - CORRECT ANSWER- 2.5-2.74 mmol/l Normal Values for: Sodium - CORRECT ANSWER- 135-145 mmol/l Normal Values for: Phosphate - CORRECT ANSWER- 0.8-1.5 mmol/l Normal Values for: Magnesium - CORRECT ANSWER- 0.75-1.25 mmol/l Normal Values for: Chloride - CORRECT ANSWER- 110-114 mmol/l Trousseau's sign is a sign/symptom of ______________