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Situation:
Confusion and lethargy are experienced by a patient
taking diuretics.
What is the most common electrolyte imbalance which
causes hospitalization of patients?
A. Hyponatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypomagnesemia - ANSWER-A. Hyponatremia
,Which of the following must the nurse consider as priority
in assessment of a client in the above situation?
A. Urine output
B. Thirst
C. Mental status
D. Pulse grade - ANSWER-C. Mental status
Which of the following is true about hospitalized patients
with hyponatremia?
A. Decreased urine output leads to higher concentrations
of serum sodium.
B. Drinking excessive amounts of water dilutes the urine.
,C. The IV fluid regulator was adjusted by the client,
increasing infusion rate.
D. Large quantities of urine are excreted due to
furosemide administration. - ANSWER-D. Large quantities
of urine are excreted due to furosemide administration.
Considering the patient's status, which of the following is
the most appropriate nursing diagnosis?
A. Fluid volume excess
B. Fluid volume deficit
C. Disturbed thought processes
D. Ineffective tissue perfusion - ANSWER-B. Fluid volume
deficit
, 123. You noticed a runner in a marathon looks pale,
confused, fatigued, sweating and having tremors. Which of
the following will you give the patient?
A. A full meal
B. Sandwich
C. Candies
D. Fruits - ANSWER-C. Candies
A patient is experiencing knife-like chest pain with
increasing intensity upon inspiration. Which of the
following is most likely its origin?
A. Respiratory
B. Cardiac
C. Gastrointestinal