Question 1

The patient is receiving intravenous potassium (KCL). Which nursing actions are required?  Select all that apply.

Accepted Answer

Administering intravenous potassium (KCL) requires close monitoring as it can cause significant adverse effects. The nurse should monitor the injection site for redness and inflammation, use an infusion controller to control the rate of the IV infusion, and monitor fluid intake and output to evaluate the effectiveness of KCL administration. KCL should not be administered IV push as it can cause cardiac arrest. Adding KCL to the IV hanging is also not recommended as it can cause errors in dosage calculation and administration.

Question 2

The patient, newly diagnosed with diabetes mellitus, is admitted to the emergency department with nausea, vomiting, and abdominal pain. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L. Which other assessment findings would the nurse anticipate in this patient?  Select all that apply.

Accepted Answer

The answer of The patient, newly diagnosed with diabetes mellitus,...

Question 3

The patient has been placed on a 1200 mL daily fluid restriction. The patient's IV is infusing at a keep open rate of 10 mL/hr. The patient has no additional IV medications. How much fluid should the patient be allowed from 0700 until 1500 daily?

Accepted Answer

The answer of The patient has been placed on a...

Question 4

Place an "X" on the ECG tracing that is most likely to represent the electrical activity in the heart of a patient who has a serum potassium of 5.9.

Accepted Answer

The answer of Place an "X" on the ECG tracing...

Question 5

The patient has a serum phosphate level of 4.7 mg/dL. Which interdisciplinary treatments would the nurse expect for this patient?  Select all that apply.

Accepted Answer

A) IV normal saline is used to promote renal excretion of phosphate. B) Calcium-containing antacids bind phosphate in the gut, reducing its absorption.

Question 6

An elderly postoperative patient is demonstrating lethargy, confusion, and a respiratory rate of 8 per minute. The nurse sees that the last dose of pain medication administered via a patient controlled anesthesia (PCA) pump was within 30 minutes. Which of the following acid-base disorders might this patient be experiencing?

Accepted Answer

The patient is demonstrating signs of respiratory depression, which can lead to hypoventilation and retention of carbon dioxide. This retention of CO2 can cause respiratory acidosis.

Question 7

Which patients are at risk for the development of hypercalcemia?  Select all that apply.

Accepted Answer

Patients with malignancy, taking lithium, hyperparathyroidism, and overusing antacids are all at risk for the development of hypercalcemia. The use of sunscreen to excess is not a risk factor for hypercalcemia.

Question 8

The patient who has a serum magnesium level of 1.4 mg/dL is being treated with dietary modification. Which foods should the nurse suggest for this patient?  Select all that apply.

Accepted Answer

Bananas, seafood, and chocolate are good sources of magnesium, which can help increase the serum magnesium level in the patient.

Quiz 10: Nursing Care of Patients with Altered Fluid, Electrolyte, & Acid-Base Balance

The patient is receiving intravenous potassium (KCL) . Which nursing actions are required? Select all that apply.

The patient has been placed on a 1200 mL daily fluid restriction. The patient's IV is infusing at a keep open rate of 10 mL/hr. The patient has no additional IV medications. How much fluid should the patient be allowed from 0700 until 1500 daily?

Place an "X" on the ECG tracing that is most likely to represent the electrical activity in the heart of a patient who has a serum potassium of 5.9.

The patient has a serum phosphate level of 4.7 mg/dL. Which interdisciplinary treatments would the nurse expect for this patient? Select all that apply.

Which patients are at risk for the development of hypercalcemia? Select all that apply.

The patient who has a serum magnesium level of 1.4 mg/dL is being treated with dietary modification. Which foods should the nurse suggest for this patient? Select all that apply.