vSim: Fundamentals Scenario Rashid Ahmed

vSim: Fundamentals Scenario Rashid Ahmed vSim: Fundamentals Scenario Rashid Ahmed Which statement concerning fluid balance demonstrates a need for additional instruction concerning fluid intake and output? - ANS The balance between fluid intake and output must be achieved each day to maintain homeostasis. Reduced skin turgor is characteristically altered among which population? - ANS Older adults Which statement concerning the measurement of intake and output is true? - ANS When possible, intake and output should be measured rather than estimated. Which statement by the nurse indicates a need for further education on the role of water as a body fluid? - ANS Water is transported to cells when it is attached to electrolytes. Hyponatremia is associated with a decrease of which electrolyte? - ANS Sodium What determines the acidity of a substance like body fluids? - ANS The number of existing H+ ions Which diagnostic test serves as the basis for determining acid-base imbalances? - ANS Arterial blood gas (ABG) What pathology is responsible for metabolic acidosis? - ANS A decrease in bicarbonate or an increase in hydrogen icons Hypokalemia is confirmed by what serum blood result? - ANS Potassium 3.0 mEq/L Considering Mr. Ahmed's diagnosis of dehydration and the possibility of neurological impairment, which nursing intervention is directed toward minimizing his risk for possible injury? - ANS Implementing falls precaution Which of Mr. Ahmed's lab results best supports his diagnosis of dehydration? - ANS Sodium: 130 mEq/L What information should be included when documenting a change in the infusion rate of an IV solution? (Select all that apply.) - ANS - Change made to flow rate - Date and time change was made - Nurse's initials - Patient's response to IV therapy What information will the nurse provide to a patient to best assure minimizing the risk of side effects associated with sulfamethoxazole-trimethoprim therapy? - ANS Increase fluid intake in order to remain well hydrated. Which physical finding poses the greatest safety risk for a patient diagnosed with hyponatremia? - ANS Orthostatic hypotension Calculate the IV infusion rate using the following provider's order: 1000 mL of NS over 8 hours. Infusion set has a drop rate of 10 drops/mL. - ANS 21 drops / minute What is the initial step in assessing a patient for orthostatic hypotension? - ANS After having the patient lie in a supine position for three to10 minutes, take and record blood pressure and pulse. In addition to regular monitoring of serum potassium level, which intervention will the nurse implement to address the safety needs of a patient prescribed intravenous potassium chloride? - ANS Securing electrocardiograms (ECG) regularly Which statement by Mr. Ahmed best reflects his ability to assume some responsibility in tracking his urinary output? - ANS I will always use the calibrated urinal to measure my urine. In preparation for calculating the infusion rate for a newly ordered intravenous (IV) solution, the nurse must first secure what information? - ANS The infusion set's drop factor