Saunders NCLEX~Fluids and Electrolytes
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Questions with Correct Answers
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A 0.9% intravenous (IV) solution is prescribed for a client. The IV is to run at 100 mL/hr. The nurse
prepares the solution, understanding that which are characteristics of this type of solution? Select all
that apply. - Answer -Is the same solution as sodium chloride 0.9%, Is used to administer red blood
cell transfusion, Is used to treat hypotension due to fluid volume deficit
A client enters the emergency department confused, twitching, and having seizures. His family states he
recently was placed on corticosteroids for arthritis and was feeling better and exercising daily. On data
collection, he has flushed skin, dry mucous membranes, an elevated temperature, and poor skin turgor.
His serum sodium level is 150 mEq/L (150 mmol/L). Which interventions would the primary health care
provider likely prescribe? Select all that apply. - Answer -Monitor vital signs. Monitor electrolyte
levels. Monitor intake and output. Increase water intake orally. Maintain sodium-reduced diet.
A client enters the emergency department confused, twitching, and having seizures. Upon assessment,
flushed skin, dry mucous membranes, an elevated temperature, and poor skin turgor is noted. The
serum sodium level is 172 mEq/L (172 mmol/L). Which interventions should the primary health care
provider (PHCP) likely prescribe? Select all that apply. - Answer -Monitor vital signs. Monitor intake
and output. Increase water intake orally. Monitor electrolyte levels. Provide a sodium-reduced diet.
A client has a nasogastric tube in place that is attached to suction. The client is at risk for developing
which electrolyte imbalances with prolonged suction? Select all that apply. - Answer -
Hypokalemia, Hyponatremia, Hypomagnesemia
A client has a serum sodium level of 129 mEq/L (129 mmol/L) because of hypervolemia. The nurse
anticipates the primary health care provider to prescribe which measures? Select all that apply. -
Answer -Restrict fluid intake. Monitor electrolytes every 24 hours.
A client is admitted with a diagnosis of pneumonia and dehydration. The nurse monitors the client and
determines which symptoms correlate with this client's fluid imbalance? Select all that apply. -
Answer -Flat neck veins, Weakly palpable peripheral pulses, Heart rate of 104 beats per minute
A client is at risk for developing hypocalcemia. The nurse determines which signs are associated with this
electrolyte disturbance? Select all that apply. - Answer -Positive Trousseau's sign, Fine tremors
noted in hands
A client needs to be placed on strict intake and output (I&O) measurement. The nurse collects the data
as a baseline and then checks the client's skin turgor by doing which action? Refer to video. Click on the
, Question Video button to view a video showing preparation procedures. - Answer -Pulling up and
releasing the skin on the sternal area
A client undergoing renal dialysis is prescribed calcitriol to treat hypocalcemia. The nurse reinforces
instructions and informs the client that this medication is also known as which nutrient? - Answer -
Vitamin D
Etidronate, an antihypercalcemic medication, is prescribed for a client. Which information should the
nurse reinforce when instructing the client about taking this medication? - Answer -Take 2 hours
before meals.
The metabolic panel of a client reveals a calcium level of 6.5 mg/dL (1.6 mmol/L). Based on this
laboratory finding, which additional data specific to this calcium level should the nurse collect? Select all
that apply. - Answer -Presence of Chvostek's sign, Presence of electrocardiogram abnormalities,
Presence of tingling in the fingertips and around the mouth, Presence of carpal spasm when blood
pressure cuff is inflated above systolic blood pressure for a few minutes
The nurse checks a client's skin turgor and documents that the client exhibits normal fluid balance.
Which statement correctly describes what the nurse has documented? - Answer -The skin when
pinched immediately fell back to normal when released.
The nurse is assigned to care for a group of clients on the clinical nursing unit. Which client is least likely
to develop third spacing of fluids? - Answer -Hypertension
The nurse is assisting in caring for a client who is receiving an intravenous infusion of 1000 mL of normal
saline with 40 mEq of potassium chloride. The nurse is monitoring the client for signs of hyperkalemia.
Which sign/symptom should be noted in the client if hyperkalemia is present? - Answer -Muscle
weakness
The nurse is assisting in caring for a client with severe hyponatremia resulting from hypervolemia. The
nurse anticipates which treatment would be prescribed by the primary health care provider? -
Answer -Administer hypertonic normal saline solution intravenously.
The nurse is assisting in the care of a client who has a serum sodium level of 128 mEq/L (128 mmol/L).
The nurse relates which of the client's signs and symptoms to this electrolyte imbalance? Select all that
apply. - Answer -Weakness in all extremities, Confusion with garbled speech, Diarrhea with
abdominal cramping
The nurse is assisting in the care of a client with a left foot that sustained a crush injury. The nurse
determines that the client developed third spacing of body fluid based on which observation? -
Answer -Left foot has 4+ pitting edema.
The nurse is assisting in the care of a client with a new ileostomy on the clinical nursing unit. Which
observations indicate to the nurse that the client is at risk for fluid volume deficit? Select all that apply. -
Answer -Ileostomy output of 650 mL in 4 hours, Blood pressure (BP) 104/66 mmHg, temperature
98.4° F, pulse 106 beats per minute, respirations 20 breaths per minute
Latest Update Comprehensive
Questions with Correct Answers
Guaranteed Pass
A 0.9% intravenous (IV) solution is prescribed for a client. The IV is to run at 100 mL/hr. The nurse
prepares the solution, understanding that which are characteristics of this type of solution? Select all
that apply. - Answer -Is the same solution as sodium chloride 0.9%, Is used to administer red blood
cell transfusion, Is used to treat hypotension due to fluid volume deficit
A client enters the emergency department confused, twitching, and having seizures. His family states he
recently was placed on corticosteroids for arthritis and was feeling better and exercising daily. On data
collection, he has flushed skin, dry mucous membranes, an elevated temperature, and poor skin turgor.
His serum sodium level is 150 mEq/L (150 mmol/L). Which interventions would the primary health care
provider likely prescribe? Select all that apply. - Answer -Monitor vital signs. Monitor electrolyte
levels. Monitor intake and output. Increase water intake orally. Maintain sodium-reduced diet.
A client enters the emergency department confused, twitching, and having seizures. Upon assessment,
flushed skin, dry mucous membranes, an elevated temperature, and poor skin turgor is noted. The
serum sodium level is 172 mEq/L (172 mmol/L). Which interventions should the primary health care
provider (PHCP) likely prescribe? Select all that apply. - Answer -Monitor vital signs. Monitor intake
and output. Increase water intake orally. Monitor electrolyte levels. Provide a sodium-reduced diet.
A client has a nasogastric tube in place that is attached to suction. The client is at risk for developing
which electrolyte imbalances with prolonged suction? Select all that apply. - Answer -
Hypokalemia, Hyponatremia, Hypomagnesemia
A client has a serum sodium level of 129 mEq/L (129 mmol/L) because of hypervolemia. The nurse
anticipates the primary health care provider to prescribe which measures? Select all that apply. -
Answer -Restrict fluid intake. Monitor electrolytes every 24 hours.
A client is admitted with a diagnosis of pneumonia and dehydration. The nurse monitors the client and
determines which symptoms correlate with this client's fluid imbalance? Select all that apply. -
Answer -Flat neck veins, Weakly palpable peripheral pulses, Heart rate of 104 beats per minute
A client is at risk for developing hypocalcemia. The nurse determines which signs are associated with this
electrolyte disturbance? Select all that apply. - Answer -Positive Trousseau's sign, Fine tremors
noted in hands
A client needs to be placed on strict intake and output (I&O) measurement. The nurse collects the data
as a baseline and then checks the client's skin turgor by doing which action? Refer to video. Click on the
, Question Video button to view a video showing preparation procedures. - Answer -Pulling up and
releasing the skin on the sternal area
A client undergoing renal dialysis is prescribed calcitriol to treat hypocalcemia. The nurse reinforces
instructions and informs the client that this medication is also known as which nutrient? - Answer -
Vitamin D
Etidronate, an antihypercalcemic medication, is prescribed for a client. Which information should the
nurse reinforce when instructing the client about taking this medication? - Answer -Take 2 hours
before meals.
The metabolic panel of a client reveals a calcium level of 6.5 mg/dL (1.6 mmol/L). Based on this
laboratory finding, which additional data specific to this calcium level should the nurse collect? Select all
that apply. - Answer -Presence of Chvostek's sign, Presence of electrocardiogram abnormalities,
Presence of tingling in the fingertips and around the mouth, Presence of carpal spasm when blood
pressure cuff is inflated above systolic blood pressure for a few minutes
The nurse checks a client's skin turgor and documents that the client exhibits normal fluid balance.
Which statement correctly describes what the nurse has documented? - Answer -The skin when
pinched immediately fell back to normal when released.
The nurse is assigned to care for a group of clients on the clinical nursing unit. Which client is least likely
to develop third spacing of fluids? - Answer -Hypertension
The nurse is assisting in caring for a client who is receiving an intravenous infusion of 1000 mL of normal
saline with 40 mEq of potassium chloride. The nurse is monitoring the client for signs of hyperkalemia.
Which sign/symptom should be noted in the client if hyperkalemia is present? - Answer -Muscle
weakness
The nurse is assisting in caring for a client with severe hyponatremia resulting from hypervolemia. The
nurse anticipates which treatment would be prescribed by the primary health care provider? -
Answer -Administer hypertonic normal saline solution intravenously.
The nurse is assisting in the care of a client who has a serum sodium level of 128 mEq/L (128 mmol/L).
The nurse relates which of the client's signs and symptoms to this electrolyte imbalance? Select all that
apply. - Answer -Weakness in all extremities, Confusion with garbled speech, Diarrhea with
abdominal cramping
The nurse is assisting in the care of a client with a left foot that sustained a crush injury. The nurse
determines that the client developed third spacing of body fluid based on which observation? -
Answer -Left foot has 4+ pitting edema.
The nurse is assisting in the care of a client with a new ileostomy on the clinical nursing unit. Which
observations indicate to the nurse that the client is at risk for fluid volume deficit? Select all that apply. -
Answer -Ileostomy output of 650 mL in 4 hours, Blood pressure (BP) 104/66 mmHg, temperature
98.4° F, pulse 106 beats per minute, respirations 20 breaths per minute
