Nursing 3500 Exam Questions With Complete Solutions

Nursing 3500 Exam Questions With Complete Solutions Which of the following is a clinical manifestation of hypokalemia? a) Oliguria b) irritability c) soft flabby muscles d) Abdominal cramping hhCorrect Answers hhc) Soft flabby muscles Following bowel surgery, a patient has been receiving normal saline intravenous (IV) fluids at 100 mL per hour; has a nasogastric tube attached to low, intermittent suct ion; and is on nothing by mouth (NPO) status. Which of the following assessment findings would alert the nurse to a major fluid and electrolyte problem? a. Flushed, moist skin b. A decreasing level of consciousness (LOC) c. A serum sodium level of 138 mmo l/L d. Weight gain hhCorrect Answers hhb) decreasing level of conciousness What is the most reliable index of volume status when caring for a patient with a fluid imbalance? a. Skin turgor b. Daily weight patterns c. Hourly urinary output d. Presence of ed ema hhCorrect Answers hhb) daily weight patterns When monitoring the fluid and electrolyte status of the older adult, what does the nurse recognize that impairment of the thirst mechanism may lead to? a. Decreased production of ADH b. Cellular edema c. Hyp erosmolality d. Isotonic fluid deficit hhCorrect Answers hh A patient is taking hydrochlorothiazide, a potassium -wasting diuretic, for treatment of hypertension. What symptoms should the nurse teach the patient to report? a. Fatigue and muscle weakness b. Anxiety and muscle twitching c. Abdominal cramping and diarrhea d. Confusion and personality changes hhCorrect Answers hha) fatigue and muscle weakness What is the best area to assess for skin turgor in the older adult? a. Sternum b. Forearm c. Thigh d. Upper arm hhCorrect Answers hha) sternum IV potassium chloride is ordered for treatment of a patient with hypokalemia. What should the nurse be aware of when administering the potassium solution? Selected Answer: