ATI Fluid and Electrolytes Exam 4 2024 VERFIED A+ GRADED

ATI Fluid and Electrolytes Exam 4 2024 VERFIED A+ GRADED


AEnurseEisEcaringEforEaEclientEwhoEhasEaEprescriptionEtoEreceivesEoneEunitEofEpackedEredEbloodEc
ells.ETheEclient'sEbloodEtypeEisEAB+,EandEtheEnurseEreceivesEaEunitEofEA-
EbloodEfromEtheEbloodEbank.EWhichEofEtheEfollowingEactionsEshouldEtheEnurseEtake? E-

EVerifyEtheEunitEofEbloodEwithEanotherEnurse.



Rationale:ETheEunitEofEbloodEisEcompatibleEwithEtheEclient'sEbloodEtype.EHowever,EtheEnurseEsho
uldEensureEthatEtheEbloodEunitEhadEbeenEverifiedEbyEtwoEnursesEbeforeEinitiatingEtheEtransfusion.

AEnurseEisEpreparingEtoEstartEanEIVEforEaEclientEwhoEhasEaEhighEriskEforEbleeding.EWhichEofEtheE
followingEactionsEshouldEtheEnurseEtake?E-EApplyEaEbloodEpressureEcuffEsetEtoE30EmmEHg.

Rationale:EInsteadEofEusingEaEtourniquet,EtheEnurseEshouldEapplyEaEbloodEpressureEcuffEsetEtoE
30EmmEHgEpriorEtoEstartingEanEIVEforEthisEclient.EThisEwillEhelpEprotectEtheEclient'sEextremity
EfromEbruisingEandEbleeding.



AEnurseEisEparticipatingEinEaEbloodEdriveEandEisEtakingEaEdonationEfromEaEclientEwhoEhasEtypeE
A-
Eblood.ETheEclientEasksEtheEnurseEwhatEbloodEtypesEcanEreceiveEtheirEbloodEdonation.EWhichEofE

theEfollowingEresponsesEshouldEtheEnurseEmake?E(SelectEallEthatEapply.)E-EA+
AB-
EAB

+EA-

AEnurseEisEcaringEforEaEclientEwhoEhasEanEacid-
baseEimbalanceEandEisEexperiencingEhypoxia.EWhichEofEtheEfollowingEactionsEshouldEtheEnurseEt
akeEfirst?E-EElevateEtheEheadEofEtheEclient'sEbed.

Rationale:ETheEfirstEactionEtheEnurseEshouldEtakeEwhenEusingEtheEairway,Ebreathing,EcirculationE
approachEtoEclientEcareEisEtoEelevateEtheEheadEofEtheEclient'sEbed.EPlacingEtheEclientEinEtheEFowle
r'sEorEsemi-Fowler'sEpositionEwillEpromoteEeffectiveEbreathingEandEchestEexpansion.

AEnurseEisEreviewingEaEclient'sElaboratoryEresults.EWhichEofEtheEfollowingEresultsEshouldEtheEnur
seEreportEtoEtheEprovider?E-EMagnesiumE3EmEq/L

Rationale:EAEmagnesiumElevelEofE3EmEq/LEisEaboveEtheEexpectedEreferenceErangeEofE1.3EtoE2.1E
mEq/L.ETherefore,EtheEnurseEshouldEreportEthisEfindingEtoEtheEprovider.

AEnurseEisEparticipatingEinEbloodEdriveEandEisEtakingEaEdonationEfromEaEclientEwhoEhasEtypeE
O+Eblood.ETheEclientEasksEtheEnurseEwhatEtypeEofEbloodEtheyEcanEreceive.EWhichEofEtheEfollo
wingEstatementsEshouldEtheEnurseEmake?E-
E"YouEcanEreceiveEaEbloodEdonationEfromEdonorsEwithEtypeEO-EandEtypeEO+Eblood."



Rationale:EClientsEwhoEhaveEtypeEO+EbloodEcanEonlyEreceiveEbloodEfromEdonorsEwhoEhaveEtyp
eEO-EorEtypeEO+Eblood.EClientsEwhoEhaveEtypeEO-
EbloodEareEuniversalEdonors,EmeaningEthatEanyoneEcanEreceiveEtheirEblood,EregardlessEofEbloodEt

ype.

, AEnurseEisEcalculatingEaEclient'sEintakeEandEoutputEforEtheElastE4Ehr.ETheEclientEconsumedE480Em
LEofEwaterEandE240EmLEofEcoffee.ETheEclientEhasEalsoEreceivedEIVEfluidsEforE4EhrEinfusingEatE1
00EmL/hr.EWhichEofEtheEfollowingEamountsErepresentsEtheEclient'sEintakeEoverEtheElastE4Ehr?E-
E1,120EmL



Rationale:ETheEclientEhasEtakenEin:E480EmLEofEwaterE+E240EmLEofEcoffeeE+E(100EmLEofEfluidsEx
E4Ehr).E720EmLE+E400EmLE=E1,120EmL.ETheEclient'sEtotalEintakeEinE4EhrEisE1,120EmL.



AEnurseEisEreviewingEtheElatestEarterialEbloodEgasE(ABG)EvaluesEforEaEclientEwhoEisEexperienci
ngEmetabolicEalkalosis.ETheEnurseEshouldEidentifyEthatEthisEactionEisEpartEofEwhichEofEtheEfollo
wingEstepsEofEtheEnursingEprocess?E-EEvaluation

Rationale:EReviewingEtheEclient'sEABGEvaluesEisEpartEofEtheEevaluationEstageEofEtheEnursi
ngEprocess.EDuringEtheEevaluationEstage,EtheEnurseEshouldEdetermineEifEtheEactionsEtakenEi
nEtheEimplementationEstageEwereEsuccessfulEinEmeetingEtheEgoalsEinEtheEclient'sEplanEofEc
are.

AEnurseEisEreceivingEreportEonEfourEclients.ETheEnurseEshouldEidentifyEthatEwhichEofEtheEfollowi
ngEclientsEmayEbeEexperiencingEhypomagnesemia?E-
EAEclientEwhoEhasEvomitedEfourEtimesEduringEtheElastE8Ehr.



Rationale:ENauseaEandEvomitingEareEearlyEmanifestationsEofEhypomagnesemia.

AEnurseEisEcaringEforEaEclientEwhoEisEexperiencingErespiratoryEalkalosis.EWhichEofEtheEfollowing
EactionsEshouldEbeEtheEgoalEofEtreatmentEforEaEclient? E-EIncreaseEtheEcarbonEdioxideElevel.



Rationale:EAEstateEofErespiratoryEalkalosisEindicatesEthatEtheEclient'sEcarbonEdioxideElevelEisEcurr
entlyEbelowEtheEexpectedEreferenceErange.ETheEgoalEofEtreatmentEshouldEbeEtoEraiseEtheElevelEofE
carbonEdioxideElevelEbackEtoEwithinEtheEexpectedEreferenceErangeEforEPaCO2EofE35EtoE45EmmE
Hg.

AEnurseEisEcaringEforEaEclientEwhoEhasEheartEfailureEandEaEprescriptionEtoEreceiveEaEunitEofEpack
edEredEbloodEcells.ETheEnurseEshouldEplanEtoEinfuseEtheEbloodEoverEwhichEofEtheEfollowingElengt
hsEofEtime?E-E4Ehr

Rationale:EBloodEcanEbeEadministeredEoverEaEperiodEofE1EtoE4Ehr.EForEaEclientEwhoEisEatEriskEforE
circulatoryEoverload,EsuchEasEaEclientEwhoEhasEheartEfailure,EaEdisorderEinEwhichEcompromisedE
cardiacEoutputEresultsEinEpoorEtissueEperfusionEandEfluidEoverload,EtheEtransfusionEshouldEbeEad
ministeredEslowlyE(maximumEtimeEofE4Ehr)EtoEavoidEincreasingEtheEworkloadEofEtheEheart.

AEnurseEisEcaringEforEaEclientEwhoEisEreceivingEtreatmentEforEhyponatremia.ETheEnurseEshouldEid
entifyEthatEwhichEofEtheEfollowingEfindingsEisEanEindicationEthatEtheEtreatmentEhasEbeenEeffectiv
e?E(SelectEallEthatEapply.)E-ETheEclientEstatesEtheirEmuscleEspasmsEareEabsent.
TheEclientEdeniedEbeingEconfused.