Chapter 8 - Fluid and Electrolyte Management
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1. 1. The nurse monitors for which Answer: C
clinical manifestations in the Rationale: Headache, nausea, and changes in level
patient diagnosed with hypona- of consciousness occur secondary to the shift
tremia? of fluid into the cells of the brain, increasing
A. Irregular heart rate, leg intracranial pressure.
cramps, confusion
B. Weakness, tachycardia, tin-
gling of the skin
C. Headache, nausea, change in
level of
consciousness
D. Bradycardia, hypotension,
muscle weakness
2. 2. The nurse is screening pa- Answer: A
tients for their risk of devel- Rationale: End-stage renal patients are not able
oping hyperkalemia. The nurse to excrete potassium through the renal system,
should consider increasing the risk for developing hyperkalemia.
the patient with which disorder
at greatest risk?
A. End-stage renal disease
B. Diabetic mellitus
C. Partial thickness burns
D. Receiving a loop diuretic
3. 3. The nurse has just received a Answer: C
report on assigned Rationale: Development of a cough in a patient
patients. Which patient should receiving intravenous fluid can indicate the
be assessed first? development of fluid volume excess.
A. A patient with abdominal
pain who has drained
400 mL from her nasogastric
1/6
, Chapter 8 - Fluid and Electrolyte Management
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tube over 6 hours
B. A patient postoperative total
hip replacement
2 hours ago with 600-mL urine
output
C. A patient receiving an IV infu-
sion of 0.9%
NS at 125 mL/hr who is now
complaining
of a cough
D. A patient complaining of leg
cramps after
receiving furosemide (Lasix) for
peripheral
edema
4. 4. A patient has been admitted Answer: D
to the critical unit with Rationale: Patients with low magnesium levels are
a serum magnesium level of 0.9 at risk for seizure and ventricular fibrillation. Agitation and
mEq/L. The nurse restlessness are seen with hypernatremia.
closely monitors the patient for Hypotension and bradycardia are associated with
which potential high magnesium levels, and deep, rapid respirations
complication of this magne- are observed with patients with hypochloremia.
sium level?
A. Agitation and restlessness
B. Hypotension and bradycar-
dia
C. Deep, rapid respirations
D. Seizure and ventricular fibril-
lation
5.
2/6
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1. 1. The nurse monitors for which Answer: C
clinical manifestations in the Rationale: Headache, nausea, and changes in level
patient diagnosed with hypona- of consciousness occur secondary to the shift
tremia? of fluid into the cells of the brain, increasing
A. Irregular heart rate, leg intracranial pressure.
cramps, confusion
B. Weakness, tachycardia, tin-
gling of the skin
C. Headache, nausea, change in
level of
consciousness
D. Bradycardia, hypotension,
muscle weakness
2. 2. The nurse is screening pa- Answer: A
tients for their risk of devel- Rationale: End-stage renal patients are not able
oping hyperkalemia. The nurse to excrete potassium through the renal system,
should consider increasing the risk for developing hyperkalemia.
the patient with which disorder
at greatest risk?
A. End-stage renal disease
B. Diabetic mellitus
C. Partial thickness burns
D. Receiving a loop diuretic
3. 3. The nurse has just received a Answer: C
report on assigned Rationale: Development of a cough in a patient
patients. Which patient should receiving intravenous fluid can indicate the
be assessed first? development of fluid volume excess.
A. A patient with abdominal
pain who has drained
400 mL from her nasogastric
1/6
, Chapter 8 - Fluid and Electrolyte Management
Study online at https://quizlet.com/_84dx4z
tube over 6 hours
B. A patient postoperative total
hip replacement
2 hours ago with 600-mL urine
output
C. A patient receiving an IV infu-
sion of 0.9%
NS at 125 mL/hr who is now
complaining
of a cough
D. A patient complaining of leg
cramps after
receiving furosemide (Lasix) for
peripheral
edema
4. 4. A patient has been admitted Answer: D
to the critical unit with Rationale: Patients with low magnesium levels are
a serum magnesium level of 0.9 at risk for seizure and ventricular fibrillation. Agitation and
mEq/L. The nurse restlessness are seen with hypernatremia.
closely monitors the patient for Hypotension and bradycardia are associated with
which potential high magnesium levels, and deep, rapid respirations
complication of this magne- are observed with patients with hypochloremia.
sium level?
A. Agitation and restlessness
B. Hypotension and bradycar-
dia
C. Deep, rapid respirations
D. Seizure and ventricular fibril-
lation
5.
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