A dialysis unit nurse caring for a client with renal failure will expect the client to exhibit which fluid and
electrolyte imbalances?
You Selected:
fluid volume excess and acidosis
Correct response:
fluid volume excess and acidosis
Explanation:
Fluid volume excess can be caused by malfunction of the kidneys (i.e., renal failure). The kidneys are also
responsible for acid-base balance, and in the presence of renal failure, the kidneys cannot regulate hydrogen
ions and bicarbonate ions, so the client develops metabolic acidosis.
Reference:
Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia, Wolters Kluwer,
2019, Chapter 40: Fluid, Electrolyte, and Acid-Base Balance, p. 1575.
Chapter 40: Fluid, Electrolyte, and Acid-Base Balance - Page 1575
,A decrease in arterial blood pressure will result in the release of:
You Selected:
thrombus.
Correct response:
, renin.
Explanation:
Decreased varterial vblood vpressure, vdecreased vrenal vblood vflow, vincreased vsympathetic vnerve vactivity,
and/or vlow-salt vdiet vcan vstimulate vrenin vrelease.
v
Reference:
Taylor, vC., vLynn, vP., v& vBartlett, vJ., vFundamentals vof vNursing, v9th ved., vPhiladelphia, vWolters
Kluwer, v2019, vChapter v40: vFluid, vElectrolyte, vand vAcid-Base vBalance, vp. v1559.
v
Chapter v40: vFluid, vElectrolyte, vand vAcid-Base vBalance v- vPage v1559
Which vis va vcommon vanion?
You vSelected:
calcium
Correct vresponse:
chloride
Explanation:
Chloride vis va vcommon vanion, vwhich vis va vnegatively vcharged vion. vMagnesium, vpotassium, vand vcalcium vare
cations, vor vpositively vcharged vions.
v
Reference:
Taylor, vC., vLynn, vP., v& vBartlett, vJ., vFundamentals vof vNursing, v9th ved., vPhiladelphia, vWolters
Kluwer, v2019, vChapter v40: vFluid, vElectrolyte, vand vAcid-Base vBalance, vp. v1557.
v
Chapter v40: vFluid, vElectrolyte, vand vAcid-Base vBalance v- vPage v1557
, A vclient vwho vrecently vhad vsurgery vis vbleeding. vWhat vblood vproduct vdoes vthe vnurse vanticipate vadministering vfor
v this vclient?
You vSelected:
platelets
Correct vresponse:
platelets
Explanation:
Platelets vare vadministered vto vrestore vor vimprove vthe vability vto vcontrol vbleeding. vGranulocytes vare vused vto
overcome vor vtreat vinfection. vAlbumin vis vused vto vpull vthird-spaced vfluid vby vincreasing vcolloidal vosmotic
v
pressure. vCryoprecipitate vis vused vto vtreat vclotting vdisorders vlike vhemophilia.
v
Reference:
Taylor, vC., vLynn, vP., v& vBartlett, vJ., vFundamentals vof vNursing, v9th ved., vPhiladelphia, vWolters
Kluwer, v2019, vChapter v40: vFluid, vElectrolyte, vand vAcid-Base vBalance, vpp. v1593-1594.
v
Chapter v40: vFluid, vElectrolyte, vand vAcid-Base vBalance v- vPage v1593-1594
A vnurse vis vcaring vfor va vclient vwho vis vprescribed va vperipheral vintravenous v(IV) vinfusion. vAfter vreviewing vthe
v image, vwhich vaction vis vmost vimportant vfor vthe vnurse vto vtake?
You vSelected:
Obtain vnew vintravenous vtubing vand vspike vthe vinfusion vbag vwithout vtouching vthe vtip vof vthe vtubing
Correct vresponse:
Obtain vnew vintravenous vtubing vand vspike vthe vinfusion vbag vwithout vtouching vthe vtip vof vthe vtubing