F AND E GRADE A FULLY ANSWERED QUESTIONS
An arterial blood gas have been drawn with the following results. pH- 7.25, PaCo2-
40mmHg, SaO2- 95%, HCO3- 18mEq/L, PaO2- 98 mmHg. What condition is the client
experiencing? - Metabolic acidosis
The pt has been vomiting for nearly 4 hours. The nurse recognizes this pt is at high risk
for: - Metabolic alkalosis
A nurse is reviewing the lab results of a client who is taking a loop diuretic and notes the
client's potassium level is 3.0 mEq/L. Which of the following physiological responses
should the nurse expect related to the client's hypokalemia? - Cardiac dysrhythmia
The hand grasps of the client with acidosis have diminished since the previous
assessment 1 hr ago. What action does the nurse take next? - Assess respirations →
rate, rhythm
Muscle weakness, muscle cramping
A nurse is caring for a client who has been taking diuretics on a long-term basis. Which
assessment finding would suggest the nursing dx of fluid volume deficit? - Increase in
urine specific gravity
A nurse is caring for four clients who have drainage tubes. Which of the following clients
should the nurse identify as being at risk for hypokalemia? - Pt with NG tube suctioning
A nurse reviews a client's serum sodium level and notes the level is 150 mEq/L. the
physician prescribes dietary instruction for the client based on the sodium level. Which
food items will the nurse instruct the client to avoid? - Hypernatremic/hypernatremia
No processed food, no oats or cereals
Low sodium diet
S/A 3/5. Which of the following will assist in preventing hypocalcemia? - Sunlight
, Calcium supplement
Dietary considerations (milk)
A nurse is assisting with the care of a client who has hypocalcemia. For which of the
following signs should the nurse monitor? - Chvostek's sign
The nurse reading the lab report of a pt with excessive diarrhea sees that his pH is 7.1,
and the PaCO2 and the PaO2 are normal. From this information alone, the nurse
assesses the pt to be in? - Metabolic acidosis
Patients on diuretic therapy to decrease excess body fluid tend to lose potassium. If too
much potassium is lost, the pt will have which of the following electrolyte and acid-base
imbalances - Hypokalemia
Metabolic alkalosis
n evaluating acid-base balance, the nurse is aware that the most important part to
evaluate is - Arterial blood pH
A client has the following arterial blood results: pH 7.12, HCO3- 22mEq/L, PCO2
65mmHg, PO2 56 mmHg. The nurse correlates these values with which clinical
situation? - Tracheal obstruction r/t aspiration of a hot dog.
Sodium is the most abundant electrolyte in the body. The location of electrolytes is
important for maintain homeostasis. Sodium is the major electrolyte in which fluid
compartment - Extracellular (outside cell); intravascular
What can you see in a pt who has low potassium levels? - Muscle weakness, fatigue,
ventricular dysrhythmias
An arterial blood gas have been drawn with the following results. pH- 7.25, PaCo2-
40mmHg, SaO2- 95%, HCO3- 18mEq/L, PaO2- 98 mmHg. What condition is the client
experiencing? - Metabolic acidosis
The pt has been vomiting for nearly 4 hours. The nurse recognizes this pt is at high risk
for: - Metabolic alkalosis
A nurse is reviewing the lab results of a client who is taking a loop diuretic and notes the
client's potassium level is 3.0 mEq/L. Which of the following physiological responses
should the nurse expect related to the client's hypokalemia? - Cardiac dysrhythmia
The hand grasps of the client with acidosis have diminished since the previous
assessment 1 hr ago. What action does the nurse take next? - Assess respirations →
rate, rhythm
Muscle weakness, muscle cramping
A nurse is caring for a client who has been taking diuretics on a long-term basis. Which
assessment finding would suggest the nursing dx of fluid volume deficit? - Increase in
urine specific gravity
A nurse is caring for four clients who have drainage tubes. Which of the following clients
should the nurse identify as being at risk for hypokalemia? - Pt with NG tube suctioning
A nurse reviews a client's serum sodium level and notes the level is 150 mEq/L. the
physician prescribes dietary instruction for the client based on the sodium level. Which
food items will the nurse instruct the client to avoid? - Hypernatremic/hypernatremia
No processed food, no oats or cereals
Low sodium diet
S/A 3/5. Which of the following will assist in preventing hypocalcemia? - Sunlight
, Calcium supplement
Dietary considerations (milk)
A nurse is assisting with the care of a client who has hypocalcemia. For which of the
following signs should the nurse monitor? - Chvostek's sign
The nurse reading the lab report of a pt with excessive diarrhea sees that his pH is 7.1,
and the PaCO2 and the PaO2 are normal. From this information alone, the nurse
assesses the pt to be in? - Metabolic acidosis
Patients on diuretic therapy to decrease excess body fluid tend to lose potassium. If too
much potassium is lost, the pt will have which of the following electrolyte and acid-base
imbalances - Hypokalemia
Metabolic alkalosis
n evaluating acid-base balance, the nurse is aware that the most important part to
evaluate is - Arterial blood pH
A client has the following arterial blood results: pH 7.12, HCO3- 22mEq/L, PCO2
65mmHg, PO2 56 mmHg. The nurse correlates these values with which clinical
situation? - Tracheal obstruction r/t aspiration of a hot dog.
Sodium is the most abundant electrolyte in the body. The location of electrolytes is
important for maintain homeostasis. Sodium is the major electrolyte in which fluid
compartment - Extracellular (outside cell); intravascular
What can you see in a pt who has low potassium levels? - Muscle weakness, fatigue,
ventricular dysrhythmias
