Chapter 13: Concepts of Fluid and Electrolyte Balance Ignatavicius:
Med ical-Surgical Nursing, 10th Edition
1.1. A nurse assesses clients at a family practice clinic for risk factors that
could lead to dehydration. Which client is at greatest risk for dehydration?:
A 76 year old who is cognitively impaired.
2.2. A nurse is caring for an older client who exhibits dehydration-induced
confusion. Which intervention by the nurse is best?: Assess client further
for fall risk.
3.3. After teaching a client who is being treated for dehydration, a nurse
assesses the client's understanding. Which statement indicates that the
client correctly understood the teaching?: "I will weigh myself each
morning before I eat or drink."
4.4. A nurse is assessing clients on a med surg unit. Which adult client
does the nurse identify as being at greatest risk for insensible water loss?:
Anxious client who has tachypnea.
5.5. A nurse is evaluating a client who is being treated for dehydration.
Which assessment result does the nurse correlate with a therapeutic
response to the treatment plan?: Decreased orthostatic changes when
standing.
6.6. After teaching a client who is prescribed a restricted sodium diet, a
1/
7
, Chapter 13: Concepts of Fluid and Electrolyte Balance Ignatavicius:
Med ical-Surgical Nursing, 10th Edition
nurse assesses the client's understanding. Which food choice for lunch
indicates that the client correctly understood the teaching?: Grilled chicken
breast with glazed carrots
7.7. A nurse is assessing clients for fluid and electrolyte imbalance;ances.
Which client will the nurse assess first for potential hyponatremia?: A 34
year old who is NPO and receiving rapid intravenous D5W infusions.
8.A nurse teaches a client who is at risk for hyponatremia. Which statement
does the nurse include in the client's teaching?: "Call your primary health
care provider for diarrhea."
9.9. A nurse is caring for a client who has the following laboratory
results: potassium 2.4 mEq/L (2.4 mmol/L), magnesium 1.8 mEq/L (0.74
mmol/L),
calcium 8.5 mEq/L (2.13 mmol/L), and sodium 144 mEq/L (144 mmol/L).
Which assessment does the nurse complete first?: Depth of respirations
10.A nurse cares for a client who has a serum potassium of 6.5 mEq/L
and is exhibiting cardiovascular changes. Which intervention will the nurse
implement first?: Prepare to administer dextrose 20% and 10 units of
regular insulin IV push.
11.The nurse is caring for a client who has fluid overload. What action by
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7
Med ical-Surgical Nursing, 10th Edition
1.1. A nurse assesses clients at a family practice clinic for risk factors that
could lead to dehydration. Which client is at greatest risk for dehydration?:
A 76 year old who is cognitively impaired.
2.2. A nurse is caring for an older client who exhibits dehydration-induced
confusion. Which intervention by the nurse is best?: Assess client further
for fall risk.
3.3. After teaching a client who is being treated for dehydration, a nurse
assesses the client's understanding. Which statement indicates that the
client correctly understood the teaching?: "I will weigh myself each
morning before I eat or drink."
4.4. A nurse is assessing clients on a med surg unit. Which adult client
does the nurse identify as being at greatest risk for insensible water loss?:
Anxious client who has tachypnea.
5.5. A nurse is evaluating a client who is being treated for dehydration.
Which assessment result does the nurse correlate with a therapeutic
response to the treatment plan?: Decreased orthostatic changes when
standing.
6.6. After teaching a client who is prescribed a restricted sodium diet, a
1/
7
, Chapter 13: Concepts of Fluid and Electrolyte Balance Ignatavicius:
Med ical-Surgical Nursing, 10th Edition
nurse assesses the client's understanding. Which food choice for lunch
indicates that the client correctly understood the teaching?: Grilled chicken
breast with glazed carrots
7.7. A nurse is assessing clients for fluid and electrolyte imbalance;ances.
Which client will the nurse assess first for potential hyponatremia?: A 34
year old who is NPO and receiving rapid intravenous D5W infusions.
8.A nurse teaches a client who is at risk for hyponatremia. Which statement
does the nurse include in the client's teaching?: "Call your primary health
care provider for diarrhea."
9.9. A nurse is caring for a client who has the following laboratory
results: potassium 2.4 mEq/L (2.4 mmol/L), magnesium 1.8 mEq/L (0.74
mmol/L),
calcium 8.5 mEq/L (2.13 mmol/L), and sodium 144 mEq/L (144 mmol/L).
Which assessment does the nurse complete first?: Depth of respirations
10.A nurse cares for a client who has a serum potassium of 6.5 mEq/L
and is exhibiting cardiovascular changes. Which intervention will the nurse
implement first?: Prepare to administer dextrose 20% and 10 units of
regular insulin IV push.
11.The nurse is caring for a client who has fluid overload. What action by
2/
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