A nurse is caring for a client with cirrhosis. The nurse notes that the client is dyspneic
and crackles are heard on auscultation of the lungs. What additional signs would the
nurse expect to note in this client if a fluid volume excess is present? - (correct
answer)An increase in blood pressure
The nurse is reviewing the records of assigned clients. The nurse plans care knowing
that which client is at risk for a potassium deficit? - (correct answer)The client receiving
nasogastric suction
A nurse reviews a client's electrolyte results and notes a potassium level of 5.5 mEq/L.
The nurse understands that a potassium value at this level would be noted with which
condition? - (correct answer)Traumatic burn
A nurse reviews a client's electrolyte results and notes that the potassium level is 5.4
mEq/L. Which of the following would the nurse note on the cardiac monitor as a result of
this laboratory value? - (correct answer)Narrow, peaked T waves
A nurse is reading the health care provider's (HCP's) progress notes in the client's
record and sees that the HCP has documented "insensible fluid loss of approximately
800 mL daily." The nurse understands that this type of fluid loss can occur through: -
(correct answer)The
A nurse is reviewing the health records of assigned clients. The nurse plans care
knowing that which client is at the lowest risk for the development of third-spacing? -
(correct answer)The client with diabetes mellitus
A nurse is reviewing the health records of assigned clients. The nurse plans care
knowing that which client is at risk for fluid volume deficit? - (correct answer)The client
with a colostomy
, A nurse is caring for a client who has been taking diuretics on a long-term basis. A fluid
volume deficit is suspected. Which finding would be noted in the client with this
condition? - (correct answer)Increased specific gravity of the urine
A nurse reviews electrolyte values and notes a sodium level of 130 mEq/L. The nurse
understands that this sodium level would be noted in a client with which condition? -
(correct answer)The client with the syndrome of inappropriate secretion of antidiuretic
hormone (SIADH)
A nurse is caring for a client with leukemia and notes that the client has poor skin turgor
and flat neck and hand veins. The nurse suspects hyponatremia. What additional signs
would the nurse expect to note in this client if hyponatremia is present? - (correct
answer)Postural blood pressure changes
A nurse is caring for a client with a diagnosis of hyperparathyroidism. Laboratory studies
are performed, and the serum calcium level is 12.0 mg/dL. On the basis of this
laboratory value, the nurse takes which action? - (correct answer)Informs the registered
nurse of the laboratory value
A nurse reviews the client's serum calcium level and notes that the level is 8.0 mg/dL.
The nurse understands that which condition would cause this serum calcium level? -
(correct answer)Prolonged bedrest
A nurse is caring for a client with a suspected diagnosis of hypercalcemia. Which of the
following signs would be an indication of this diagnosis? - (correct answer)Generalized
muscle weakness
A nurse is instructing a client on how to decrease the intake of calcium in the . The
nurse tells the client that which food item contains the least amount of calcium? -
(correct answer)Butter
and crackles are heard on auscultation of the lungs. What additional signs would the
nurse expect to note in this client if a fluid volume excess is present? - (correct
answer)An increase in blood pressure
The nurse is reviewing the records of assigned clients. The nurse plans care knowing
that which client is at risk for a potassium deficit? - (correct answer)The client receiving
nasogastric suction
A nurse reviews a client's electrolyte results and notes a potassium level of 5.5 mEq/L.
The nurse understands that a potassium value at this level would be noted with which
condition? - (correct answer)Traumatic burn
A nurse reviews a client's electrolyte results and notes that the potassium level is 5.4
mEq/L. Which of the following would the nurse note on the cardiac monitor as a result of
this laboratory value? - (correct answer)Narrow, peaked T waves
A nurse is reading the health care provider's (HCP's) progress notes in the client's
record and sees that the HCP has documented "insensible fluid loss of approximately
800 mL daily." The nurse understands that this type of fluid loss can occur through: -
(correct answer)The
A nurse is reviewing the health records of assigned clients. The nurse plans care
knowing that which client is at the lowest risk for the development of third-spacing? -
(correct answer)The client with diabetes mellitus
A nurse is reviewing the health records of assigned clients. The nurse plans care
knowing that which client is at risk for fluid volume deficit? - (correct answer)The client
with a colostomy
, A nurse is caring for a client who has been taking diuretics on a long-term basis. A fluid
volume deficit is suspected. Which finding would be noted in the client with this
condition? - (correct answer)Increased specific gravity of the urine
A nurse reviews electrolyte values and notes a sodium level of 130 mEq/L. The nurse
understands that this sodium level would be noted in a client with which condition? -
(correct answer)The client with the syndrome of inappropriate secretion of antidiuretic
hormone (SIADH)
A nurse is caring for a client with leukemia and notes that the client has poor skin turgor
and flat neck and hand veins. The nurse suspects hyponatremia. What additional signs
would the nurse expect to note in this client if hyponatremia is present? - (correct
answer)Postural blood pressure changes
A nurse is caring for a client with a diagnosis of hyperparathyroidism. Laboratory studies
are performed, and the serum calcium level is 12.0 mg/dL. On the basis of this
laboratory value, the nurse takes which action? - (correct answer)Informs the registered
nurse of the laboratory value
A nurse reviews the client's serum calcium level and notes that the level is 8.0 mg/dL.
The nurse understands that which condition would cause this serum calcium level? -
(correct answer)Prolonged bedrest
A nurse is caring for a client with a suspected diagnosis of hypercalcemia. Which of the
following signs would be an indication of this diagnosis? - (correct answer)Generalized
muscle weakness
A nurse is instructing a client on how to decrease the intake of calcium in the . The
nurse tells the client that which food item contains the least amount of calcium? -
(correct answer)Butter
