fluid electrolyte ATI Practice Test with questions and answers

While reviewing a clients lab results, a nurse sees the serum calcium is 8.0mg/dL. What actions should the nurse take? Implement seizure precautions because of the decreased calcium levels A nurse is providing teaching to a client who is at risk for developing respiratory acidosis following surgery. What statement by the client indicates understanding? I will use the incentive spirometer every hour. A nurse is assessing a client who has Respiratory Acidosis. What finding should the nurse expect? Confusion from lack of cerebral perfusion A nurse is teaching additional strategies to a client who has a low calcium level and an allergy to milk. What statement indicates understanding? I will add broccoli and kale to my diet A nurse is assessing a client who is recieving hydrochlorothiazide and notes that the client is confused and lethargic. What would the nurse report to the lab? Sodium 128 mEq/mL should be 136-145 A nurse is addmitting a client who has status asthmaticus. ABG results are pH 7.32, PaO2 74 mm Hg, PaCO2 56 mm Hg, and HCO3 23 mEq/L. What imbalance is this? Respiratory Acidosis Nurse is assessing a client who has dehydration. Which assessment is a priority? Mental Status A nurse is caring for a patient who has sodium level of 155 mEq/L. Which IV fluid should the nurse anticipate the provider to prescribe. 0.45% sodium chloride Nurse is admitting a client who takes 40 mg furosemide daily for heart failure and has had 3 days of vomiting. Nurse suspects hypokalemia. Which medication should the nurse prepare to administer? 0.9% sodium chloride with 10 mEq/L of potassium chloride at 100 mL/hr Nurse is providing dietary teaching to a client who has heart failure and is recieving furosemide. Which food should the nurse recommend with the most potassium. 1 cup plain yogurt Client has phosphorus level of 2.4 mg/dL. Which finding is expected? slow peripheral pulses Patient is dehydrated and receiving IV fluid. When assessing for complications, the nurse should recognize which manifestation as a sign of fluid overload Bounding peripheral pulses Medical record states the patient has diabetes mellitus and is receiving regular insulin by continuous IV infusion to treat diabetic ketoacidosis. Which finding will be reported to the provider? Serum Potassium 3.0 mEq/L A nurse is assessing a patient using PCA following a thoractomy. Client is short of breath, appears restless, Resp rate of 28/min. ABG results pH 7.52 paO2 89 mm Hg, paCO2 28, HCO3 24. WHich action should the nurse take? provide calming interventions Patient has calcium level of 8.1 mg/dL. What finding is a nurse priority? Cardiac rhythm Nurse is preparing to administer oral potassium to a client who has a potassium level of 5.5 mEq/L. Which action should be taken first? withhold the medication Nurse is caring for a patient who reports difficulty breathing and tingling in both hands. Resp rate is 36/min and he appears very restless. Which value should the nurse anticipate to be outside the expected reference range if the client is experiencing Respiratory Alkalosis. PaCO2 Nurse is reviewing the ABG results for four clients. Which of the following findings should the nurse identify as metabolic acidosis? pH 7.26, PaO2 84, PaCO2 38, HCO3 20