Question 1

The nurse explains to the 85-year-old patient with a temperature that,with each degree of fever,the body loses _____% of water.

Accepted Answer

The answer of The nurse explains to the 85-year-old patient...

Question 2

The nurse is caring for a newly admitted patient with uncontrolled nausea and vomiting.The patient has a history of alcoholism and diabetes.After receiving these orders from the health care provider,which order(s)should the nurse question?

Accepted Answer

A primary concern in a patient with uncontrolled vomiting includes monitoring hydration status.Intake and output and daily weights are indicators of hydration status and should be assessed.Prochlorperazine maleate (Compazine)should not be given with alcohol intake.Because the patient has a history of alcoholism,it would be best to administer an antiemetic that is not contraindicated with possible alcohol intake.Diphenoxylate atropine (Lomotil)is an antidiarrheal,not an antiemetic.Lasix is a powerful loop diuretic that would exacerbate the patient's volume depletion.

Question 3

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.)

-Step 5

Accepted Answer

The answer of The nurse explains that the chain of...

Question 4

The nurse is assessing the hydration status of the patient.Which action(s)demonstrates knowledge of proper assessment?

Accepted Answer

The skin of the abdomen,forearm,sternum,forehead,and thigh can be "tented" as a test for skin turgor by gently pinching up a fold of skin and observing the delay in return to normal.Assessment of skin turgor is not reliable on the back of the hand.Weight and experiencing thirst can be indicators of hydration status,along with further assessment.The patient's blood glucose level is not an assessment parameter for hydration status.

Question 5

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.)

-Step 3

Accepted Answer

In early renal failure, the kidneys are unable to activate vitamin D, which is necessary for calcium absorption from the gastrointestinal tract. This is the third step in the sequence leading to hypocalcemia.

Question 6

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.)

-Step 1

Accepted Answer

In early renal failure, the kidneys retain phosphates, leading to a decrease in calcium levels. This retention of phosphates is the initial step in the chain of events that results in hypocalcemia.

Question 7

The nurse is caring for a patient that has a potassium level of 5.0.The nurse should carefully monitor the patient for which signs and symptoms?

Accepted Answer

Normal potassium level is 3.5 to 5.0 mEq/L.Because the patient is on the highest end of normal,the nurse should monitor for signs of hyperkalemia.Muscle weakness,cardiac dysrhythmias,and hypotension are signs of hyperkalemia.Decreased reflexes and urinary retention are signs of hypokalemia.

Question 8

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.)

-Step 2

Accepted Answer

The answer of The nurse explains that the chain of...

Question 9

The primary care provider writes an order for the patient to receive an IV of a solution that has the same osmotic pressure as intracellular fluid.The nurse would correctly question which IV order(s)?

Accepted Answer

The solution being prescribed is an isotonic solution.5% dextrose in water,lactated Ringer solution,and 0.9% sodium chloride are all isotonic solutions,whereas 0.45% sodium chloride is a hypotonic solution,and 5% dextrose in 0.9% sodium chloride is a hypertonic solution.

Question 10

The nurse demonstrates knowledge of IV solutions by identifying that the IV solution which provides free water,as well as 340 calories/L,is ______________.

Accepted Answer

The answer of The nurse demonstrates knowledge of IV solutions...

Question 11

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.)

-Step 4

Accepted Answer

The answer of The nurse explains that the chain of...

Question 12

The nurse reminds the patient that the three body mechanisms that attempt to compensate to correct acid-base imbalances are the __________ system,the __________ system,and the __________.

Accepted Answer

The answer of The nurse reminds the patient that the...

Quiz 3: Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

The nurse explains to the 85-year-old patient with a temperature that,with each degree of fever,the body loses _____% of water.

The nurse is caring for a newly admitted patient with uncontrolled nausea and vomiting.The patient has a history of alcoholism and diabetes.After receiving these orders from the health care provider,which order(s) should the nurse question?

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.) -Step 5

The nurse is assessing the hydration status of the patient.Which action(s) demonstrates knowledge of proper assessment?

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.) -Step 3

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.) -Step 1

The nurse is caring for a patient that has a potassium level of 5.0.The nurse should carefully monitor the patient for which signs and symptoms?

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.) -Step 2

The primary care provider writes an order for the patient to receive an IV of a solution that has the same osmotic pressure as intracellular fluid.The nurse would correctly question which IV order(s) ?

The nurse demonstrates knowledge of IV solutions by identifying that the IV solution which provides free water,as well as 340 calories/L,is ______________.

The nurse explains that the chain of events that results in hypocalcemia for the patient in early renal failure occurs in which order? (Match the events to the proper sequence.) -Step 4

The nurse reminds the patient that the three body mechanisms that attempt to compensate to correct acid-base imbalances are the system,the system,and the __.