MDC2: Exam 1: Fluid and Electrolytes correctly
answered to pass (latest update)
1. Upon assess- acute digox- in toxicity. Seri- al
ment of a electrocardio-
client in renal
failure, the
nurse ob-
serves a
men-
tal status
change with
hyperactive
deep tendon
re- flexes. She
in- flates the
blood pressure
cuff to a level
above his
systolic
pressure for 3
minutes and
Trousseau's
sign is
positive.
The nurse rec-
ognizes this as
which
electrolyte
imbalance?
2. The nurse is
car- ing for a
client with
,MDC2: Exam 1: Fluid and Electrolytes correctly
answered to pass (latest update)
Hypocalcemia
Hyperkalemia
*Digoxin toxicity causes higher serum potassium levels. Digoxin toxicity
blocks the mechanism by which potassium enters the cells, resulting
in hyperkalemia.
Digoxin
result- toxicity blocks the mechanism by which potassium enters the cells
grams have been
ing in hyperkalemia
performed
and client is
the
placed on
con- tinuous
cardiac
monitoring
for
,MDC2: Exam 1: Fluid and Electrolytes correctly
answered to pass (latest update)
which Fluid loss
electrolyte
disturbance?
3. The nurse is
car- ing for a
client
receiving IV
flu- ids. When
mon- itoring
the IV bag,
she notices
the drip
cham- ber
has ceased.
Which action
by the nurse is
con-
traindicated
in restoring
flow?
4. 6 Examples
of insensible
fluid loss:
5. Sensible
,MDC2: Exam 1: Fluid and Electrolytes correctly
answered to pass (latest update)
hand flush the IV catheter
*Never attempt to flush the is loss of fluid that cannot be measured
IV in an attempt to restore 1) perspiration
flow. If resistance is felt 2) third spacing
during flushing and force 3) respirations
is applied, this may result 4) fever
in extravasation. Push the 5) trach/vent
plunger slowly so the 6) peritoneum
solution goes into the
catheter. Make sure the is fluid that can be seen, felt, or measured.
syringe is twisted securely
into the injection cap and -bleeding
the tubing above the cap is -gastric drainage
unclamped. If you still feel -vomiting
resistance, stop and call -wound drainage
your health care team. -urination
-defecation
answered to pass (latest update)
1. Upon assess- acute digox- in toxicity. Seri- al
ment of a electrocardio-
client in renal
failure, the
nurse ob-
serves a
men-
tal status
change with
hyperactive
deep tendon
re- flexes. She
in- flates the
blood pressure
cuff to a level
above his
systolic
pressure for 3
minutes and
Trousseau's
sign is
positive.
The nurse rec-
ognizes this as
which
electrolyte
imbalance?
2. The nurse is
car- ing for a
client with
,MDC2: Exam 1: Fluid and Electrolytes correctly
answered to pass (latest update)
Hypocalcemia
Hyperkalemia
*Digoxin toxicity causes higher serum potassium levels. Digoxin toxicity
blocks the mechanism by which potassium enters the cells, resulting
in hyperkalemia.
Digoxin
result- toxicity blocks the mechanism by which potassium enters the cells
grams have been
ing in hyperkalemia
performed
and client is
the
placed on
con- tinuous
cardiac
monitoring
for
,MDC2: Exam 1: Fluid and Electrolytes correctly
answered to pass (latest update)
which Fluid loss
electrolyte
disturbance?
3. The nurse is
car- ing for a
client
receiving IV
flu- ids. When
mon- itoring
the IV bag,
she notices
the drip
cham- ber
has ceased.
Which action
by the nurse is
con-
traindicated
in restoring
flow?
4. 6 Examples
of insensible
fluid loss:
5. Sensible
,MDC2: Exam 1: Fluid and Electrolytes correctly
answered to pass (latest update)
hand flush the IV catheter
*Never attempt to flush the is loss of fluid that cannot be measured
IV in an attempt to restore 1) perspiration
flow. If resistance is felt 2) third spacing
during flushing and force 3) respirations
is applied, this may result 4) fever
in extravasation. Push the 5) trach/vent
plunger slowly so the 6) peritoneum
solution goes into the
catheter. Make sure the is fluid that can be seen, felt, or measured.
syringe is twisted securely
into the injection cap and -bleeding
the tubing above the cap is -gastric drainage
unclamped. If you still feel -vomiting
resistance, stop and call -wound drainage
your health care team. -urination
-defecation
