ANSWERS. LATEST UPDATE.
GUARANTEED A+ GRADE. hi hi
1.hiThehinursehiishireviewinghilaboratoryhiresults.hiWhichhicationhiwillhith
ehi
nursehiobservehiishithehimosthiabundanthiinhithehiblood?
a. Sodium
b. Chloride
c. Potassium
d. Magnesium
ANS:hiA
Sodiumhiishithehimosthiabundanthicationhiinhithehiblood.hiPotassiumhiishithehi
predominanthiintracellularhication.hiChloridehiishianhianionhi(negativelyhi
charged)hiratherhithanhiahicationhi(positivelyhicharged).hiMagnesiumhiishi
foundhipredominantlyhiinsidehicellshiandhiinhibone.
7. Thehinursehireceiveshithehipatient’shimosthirecenthibloodhiwork
results.hiWhichhilaboratoryhivaluehiishiofhigreatesthiconcern?
a. Sodiumhiofhi145himEq/L
b. Calciumhiofhi15.5himg/dL
c. Potassiumhiofhi3.5himEq/L
d. Chloridehiofhi100himEq/Lhi
ANS:hiB
Normalhicalciumhirangehiishi8.4hitohi10.5himg/
dL;hitherefore,hiahivaluehiofhi15.5himg/
dLhiishiabnormallyhihighhiandhiofhiconcern.hiThehiresthiofhithehilaboratoryh
, ivalueshiarehiwithinhitheirhinormalhiranges:hisodiumhi136hitohi145himEq/
L;hipotassium
3.5hitohi5.0himEq/L;hiandhichloridehi98hitohi106himEq/L.
8. Thehinursehiobserveshithathithehipatient’shicalciumhiishielevated.hiWhen
checkinghithehiphosphatehilevel,hiwhathidoeshithehinursehiexpecthitohisee?
a. Increased
b. Decreased
c. Equalhitohicalcium
d. Nohichangehiinhiphosphate
ANS:hiB
Phosphatehiwillhidecrease.hiSerumhicalciumhiandhiphosphatehihavehianhiinv
ersehirelationship.hiWhenhionehiishielevated,hithehiotherhidecreases,hiexc
epthiinhisomehipatientshiwithhiend-stagehirenalhidisease.
9.
Fourhipatientshiarrivehiathithehiemergencyhidepartmenthiathithehisamehitime.hi
Whichhipatienthiwillhithehinursehiseehifirst?
a. Anhiinfanthiwithhitemperaturehiofhi102.2°hiFhiandhidiarrheahiforhi3hidays
b. Ahiteenagerhiwithhiahisprainedhianklehiandhiexcessivehiedema
Ahimiddle-agedhiadulthiwithhiabdominalhipainhiwhohiishimoaninghiandhiholding
c. herhistomach
Anhiolderhiadulthiwithhinauseahiandhivomitinghiforhi3hidayshiwithhiblood
d. pressurehi112/60
ANS:hiA
Thehiinfanthishouldhibehiseenhifirst.hiAnhiinfant’shiproportionhiofhitotalhibody
hiwaterhi(70%hitohi80%hitotalhibodyhiweight)hiishigreaterhithanhithathiofhic
hildrenhiorhiadults.hiInfantshiandhiyounghichildrenhihavehigreaterhiwaterhi
needshiandhiimmaturehikidneys.hiTheyhiarehiathigreaterhiriskhiforhiextrace
llularhivolumehideficithiandhihypernatremiahibecausehibodyhiwaterhilosshi
ishiproportionatelyhigreaterhiperhikilogramhiofhiweight.hiAhiteenagerhiwit
hhiexcessivehiedemahifromhiahisprainedhianklehicanhiwait.hiAhimiddle-
, agedhiadulthimoaninghiinhipainhicanhiwaithiashicanhianhiolderhiadulthiwithhi
ahibloodhipressurehiofhi112/60.
10.
Thehipatienthihashianhiintravenoushi(IV)hilinehiandhithehinursehineedshitohire
movehithehigown.hiInhiwhichhiorderhiwillhithehinursehiperformhithehisteps,hist
artinghiwithhithehifirsthione?
1. RemovehithehisleevehiofhithehigownhifromhithehiarmhiwithouthithehiIV.
2. RemovehithehisleevehiofhithehigownhifromhithehiarmhiwithhithehiIV.
3. RemovehithehiIVhisolutionhicontainerhifromhiitshistand.
4. PasshithehiIVhibaghiandhitubinghithroughhithehisleeve.
a. 1,hi2,hi3,4hi
b. 2,hi3,hi4,hi1
c. 3,hi4,hi1,hi2
d. 4,hi1,hi2,hi3
ANS:hiA
Changehiregularhigownshibyhifollowinghithesehistepshiforhimaximumhispeedhi
andhiarmhimobility:hi(1)hiTohiremovehiahigown,hiremovehithehisleevehiofhit
hehigownhifromhithehiarmhiwithouthithehiIVhiline,himaintaininghithehipatie
nt’shiprivacy.hi(2)hiRemovehithehisleevehiofhithehigownhifromhithehiarmhiw
ithhithehiIVhiline.hi(3)hiRemovehithehiIVhisolutionhicontainerhifromhiitshista
nd,hiandhipasshiithiandhithehitubinghithroughhithehisleeve.hi(Ifhithishiinvolv
eshiremovinghithehitubinghifromhianhiEID,hiusehithehirollerhiclamphitohislo
whithehiinfusionhitohipreventhithehiaccidentalhiinfusionhiofhiahilargehivolu
mehiofhisolutionhiorhimedication.)
11.Ahi2-year-
oldhichildhiishibroughthiintohithehiemergencyhidepartmenthiafterhiingestinghiahi
medicationhithathicauseshirespiratoryhidepression.hiForhiwhichhiacid-
basehiimbalancehiwillhithehinursehimosthicloselyhimonitorhithishichild?
a. Respiratoryhialkalosis
b. Respiratoryhiacidosis
c. Metabolichiacidosis
d. Metabolichialkalosis