Question 1

A patient is suspected of having severe hypocalcemia.While waiting for the patient's serum electrolyte results,the nurse will assess for which symptoms?

Accepted Answer

Patients who have hypocalcemia will exhibit laryngeal spasms,numbness of fingers,and twitching of the mouth.The other symptoms are not characteristic of hypocalcemia.

Question 2

A patient is admitted with orthopnea,cough,pulmonary crackles,and peripheral edema.The patient's urine specific gravity is 1.002.The nurse will expect this patient's provider to order which treatment?

Accepted Answer

This patient has signs of fluid volume excess.Diuretics are prescribed to reduce fluid overload.

Question 3

The nurse is caring for a patient who is ordered to take nothing by mouth.The patient weighs 65 kg.What volume of intravenous fluid should this patient receive in 24 hours?

Accepted Answer

Fluid maintenance needs for the NPO patient are calculated as 4 mL/kg/h for the first 10 kg of weight,2 mL/kg/h for the second 10 kg of weight,and 1 mL/kg/h for every kg of weight thereafter.This patient's fluid needs are (10 kg F1F1F1S1?F1F1F10 4 mL)+ (10 kg F1F1F1S1?F1F1F10 2 mL)+ (45 kg F1F1F1S1?F1F1F10 1 mL)= 105 mL/h.The 24-hour total is 105 mL/h F1F1F1S1?F1F1F10 24 h = 2,520 mL.

Question 4

A patient with cirrhosis is noted to have low serum albumin levels.The patient is to receive 200 mL of albumin in 30 minutes.The drop factor for the IV set is 15 gtt/mL.The nurse correctly adjusts the IV rate to what rate?

Accepted Answer

The answer of A patient with cirrhosis is noted to...

Question 5

The nurse is caring for a patient who will receive intravenous calcium gluconate.Which nursing actions are appropriate when giving this solution?

Accepted Answer

Trousseau and Chvostek signs indicate hypocalcemia,and patients receiving calcium should be monitored closely for signs of calcium imbalance.Hypercalcemia can cause ECG changes.A serum calcium level greater than 2.5 mEq/L indicates hypercalcemia and therefore should be reported.Calcium does not require infusion through a central line and should not be given as a rapid IV bolus.Calcium should not be added to a solution containing bicarbonate,because rapid precipitation occurs.

Quiz 12: Fluid Volume and Electrolytes

A patient is suspected of having severe hypocalcemia.While waiting for the patient's serum electrolyte results,the nurse will assess for which symptoms?

A patient is admitted with orthopnea,cough,pulmonary crackles,and peripheral edema.The patient's urine specific gravity is 1.002.The nurse will expect this patient's provider to order which treatment?

The nurse is caring for a patient who is ordered to take nothing by mouth.The patient weighs 65 kg.What volume of intravenous fluid should this patient receive in 24 hours?

A patient with cirrhosis is noted to have low serum albumin levels.The patient is to receive 200 mL of albumin in 30 minutes.The drop factor for the IV set is 15 gtt/mL.The nurse correctly adjusts the IV rate to what rate?

The nurse is caring for a patient who will receive intravenous calcium gluconate.Which nursing actions are appropriate when giving this solution?