304 exam 1 Questions with Accurate
Answers
the nurse is caring for a client admitted for isotonic dehydration. which lab values does
the nurse anticipate to result for this client? SATA - ANSWERS*hematocrit 55%
hemoglobin 10 gm/dL
*sodium 147 mEq/L
urine specific gravity 1.005
BUN 25 mg/dL
a nurse is caring for an older adult client at risk for fluid and electrolyte imbalance. which
assessment finding would be the first indication to the nurse to take action for this
problem? - ANSWERSfever
poor skin turgor
*mental status changes
elevated BP
the nurse is caring for a patient with an isotonic fluid volume deficit. which types of
intravenous solutions does the nurse expect the health care provider to prescribe?
SATA - ANSWERS3% normal saline
0.45% normal saline
*5% dextrose in water
5% dextrose in NS
*lactated ringers
the MD orders daily weights for the purpose of evaluating a patient's fluid loss or gain.
the nurse should weigh the patient - ANSWERStwice a day
one hour before meals
*at the same time each day
before urinating in the morning
a HCP is discussing the fluid balance of a postoperative client. the physician states that
the client's insensible fluid loss is approx. 600 mL daily. the nurse interprets that the
physician is referring to the fluid loss that is occurring through which of the following? -
ANSWERS*skin and lungs
wound drain and skin
NG tube and wound drain
foley catheter and NG tube
identify the type of IV solution that will pull water into the cell expanding it -
ANSWERS*0.45% NaCl
0.9% NS
lactated ringers
, 3% NaCl
the nurse notes tachycardia, tetany, hyperreflexia, and dysrhythmias. which medication
does the nurse anticipate being prescribed? - ANSWERScalcium carbonate
*magnesium sulfate
normal saline bolus
potassium chloride
a client diagnosed with electrolyte imbalance induced dysrhythmias question the need
for more tomatoes and pears in the diet. what is the best information the nurse can give
this client? - ANSWERS*tomatoes and pears are high in magnesium
tomatoes and pears are high in potassium
tomatoes and pears are low in sodium
tomatoes and pears are high in fiber
which electrolyte imbalance response would the nurse assess for in a client with
dehydration? - ANSWERS*hypernatremia
hypovolemia
hyperkalemia
hypoglycemia
in reviewing the record of a client, a nurse notes that the physician has documented the
presence of Chvostek sign. based on this documentation, which of the following would
the nurse expect to note on assessment of the client? - ANSWERSdiscoloration of the
abdomen and periumbilical area is present
carpal spasm is elicited by compressing the upper arm and causing ischemia to the
nerves distally
*a spasm of the facial muscles is elicited by tapping the facial nerve in the region of the
parotid gland
the epidermal skin layer can be rubbed off by slight friction
the nurse assessing a client notes a bounding pulse quality, neck vein distention when
supine, presence of crackles in the lungs, and increasing peripheral edema. the nurse
should provide interventions for which condition? - ANSWERSfluid volume deficit
*fluid volume excess
fluid homeostasis
fluid dehydration
you are the nurse caring for an older client recently admitted. which of the following data
collected during the assessment process places the older adult patient at risk for
dehydration? - ANSWERSskin warm, dry, intact
BMI 20.5
BP 140/98
*water intake of 2 glasses per day
Answers
the nurse is caring for a client admitted for isotonic dehydration. which lab values does
the nurse anticipate to result for this client? SATA - ANSWERS*hematocrit 55%
hemoglobin 10 gm/dL
*sodium 147 mEq/L
urine specific gravity 1.005
BUN 25 mg/dL
a nurse is caring for an older adult client at risk for fluid and electrolyte imbalance. which
assessment finding would be the first indication to the nurse to take action for this
problem? - ANSWERSfever
poor skin turgor
*mental status changes
elevated BP
the nurse is caring for a patient with an isotonic fluid volume deficit. which types of
intravenous solutions does the nurse expect the health care provider to prescribe?
SATA - ANSWERS3% normal saline
0.45% normal saline
*5% dextrose in water
5% dextrose in NS
*lactated ringers
the MD orders daily weights for the purpose of evaluating a patient's fluid loss or gain.
the nurse should weigh the patient - ANSWERStwice a day
one hour before meals
*at the same time each day
before urinating in the morning
a HCP is discussing the fluid balance of a postoperative client. the physician states that
the client's insensible fluid loss is approx. 600 mL daily. the nurse interprets that the
physician is referring to the fluid loss that is occurring through which of the following? -
ANSWERS*skin and lungs
wound drain and skin
NG tube and wound drain
foley catheter and NG tube
identify the type of IV solution that will pull water into the cell expanding it -
ANSWERS*0.45% NaCl
0.9% NS
lactated ringers
, 3% NaCl
the nurse notes tachycardia, tetany, hyperreflexia, and dysrhythmias. which medication
does the nurse anticipate being prescribed? - ANSWERScalcium carbonate
*magnesium sulfate
normal saline bolus
potassium chloride
a client diagnosed with electrolyte imbalance induced dysrhythmias question the need
for more tomatoes and pears in the diet. what is the best information the nurse can give
this client? - ANSWERS*tomatoes and pears are high in magnesium
tomatoes and pears are high in potassium
tomatoes and pears are low in sodium
tomatoes and pears are high in fiber
which electrolyte imbalance response would the nurse assess for in a client with
dehydration? - ANSWERS*hypernatremia
hypovolemia
hyperkalemia
hypoglycemia
in reviewing the record of a client, a nurse notes that the physician has documented the
presence of Chvostek sign. based on this documentation, which of the following would
the nurse expect to note on assessment of the client? - ANSWERSdiscoloration of the
abdomen and periumbilical area is present
carpal spasm is elicited by compressing the upper arm and causing ischemia to the
nerves distally
*a spasm of the facial muscles is elicited by tapping the facial nerve in the region of the
parotid gland
the epidermal skin layer can be rubbed off by slight friction
the nurse assessing a client notes a bounding pulse quality, neck vein distention when
supine, presence of crackles in the lungs, and increasing peripheral edema. the nurse
should provide interventions for which condition? - ANSWERSfluid volume deficit
*fluid volume excess
fluid homeostasis
fluid dehydration
you are the nurse caring for an older client recently admitted. which of the following data
collected during the assessment process places the older adult patient at risk for
dehydration? - ANSWERSskin warm, dry, intact
BMI 20.5
BP 140/98
*water intake of 2 glasses per day
