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The nursing instructor is talking with the nursing class about fluid and
electrolyte balance. What would the instructor tell the students that the average
daily fluid intake for an adult is?
2500ml
The nurse is instructing on the body's negative feedback loop to ensure
homeostasis to a group of students. Which action by bases keeps the blood pH
nearly neutral?
A. Bases cast off acids.
B. Bases bind with hydrogen.
C. Bases hold acidic properties.
D. Bases have no contact with acids.
B
The nurse is correct to state that a client's body needs to have adequate nutrition
to maintain energy. Which type of transport of dissolved substances requires
adenosine triphosphate (ATP)?
A. Osmosis
B. Passive diffusion
C. Facilitated diffusion
D. Active transport
D- active transport requires use of body’s energy molecule ATP to meet body
needs for fluid and particle transport
,Which laboratory result does the nurse identify as a direct result of the client's
hypovolemic status with hemoconcentration?
A. Abnormal potassium level
B. Elevated hematocrit level
C. Low white blood count
D. Low urine specific gravity
B
D
The nurse is reviewing client lab work for a critical lab value. Which value is
called to the health care provider for additional prescriptions?
A. Potassium: 5.8 mEq/L
B. Sodium: 138 mEq/L
C. Magnesium:2 mEq/L
D. Calcium: 10 mg/dL
A
The nurse is assigned a client with calcium level of 4.0 mg/dL. Which system
assessment would the nurse ask detailed questions?
A. Endocrine system
B. Gastrointestinal system
C. Neurological system
D. Musculoskeletal system
C- this pt has hypocalcemia. Nurse will monitor for neurological manifestations
such as spasms and seizures
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The nurse is caring for a client with multiple organ failure and in metabolic
acidosis. Which pair of organs is responsible for regulatory processes and
compensation? A. Kidney and liver
B. Heart and lungs
C. Lungs and kidney
D. Pancreas and stomach
, C
-
The nurse receives report that a client's pH level is 7.4. Which nursing action
would be most appropriate?
A. Call the health care provider with the report.
B. Encourage the client to practice deep breathing.
C. Finish the head-to-toe assessment.
D. Obtain an ECG.
C
The nurse is caring for a client in heart failure with signs of hypervolemia.
Which vital sign is indicative of the disease process?
A. Low heart rate
B. Elevated blood pressure
C. Rapid respiration
D. Subnormal temperature
B
A nurse is providing an afternoon shift report and relates morning assessment
findings to the oncoming nurse. Which daily assessment data is necessary to
determine changes in the client's hypervolemia status?
A. vital signs
B. edema
C. intake and output
D. weight
The nurse is caring for a client who has been diagnosed with chronic obstructive
pulmonary disease (COPD) and is experiencing respiratory acidosis. The client
asks what is making the acidotic state. What does the nurse identify as the result
of the disease process that causes the fall in pH?
A. The lungs are unable to breathe in sufficient oxygen.
B. The lungs are unable to exchange oxygen and carbon dioxide.
C. The lungs have ineffective cilia from years of smoking.