Fluid and Electrolytes ATI

Questions 40

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Fluid and Electrolytes ATI Questions

Question 1 of 5

A patient is taking spironolactone (Aldactone) to control her hypertension. Her serum potassium level is 6 mEq/L. For this patient, the nurse's priority would be to assess her:

Correct Answer: D

Rationale: Although changes in all these findings are seen in hyperkalemia, ECG changes can indicate potentially lethal arrhythmias such as ventricular fibrillation. It wouldn't be appropriate to assess the patient's neuromuscular function, bowel sounds, or respiratory rate for effects of hyperkalemia.

Question 2 of 5

A patient admitted with a gastrointestinal bleed and anemia is receiving a blood transfusion. Based upon the patient's hypotensive blood pressure, the nurse anticipates an order for IV fluids from the physician. Which of the following IV solutions may be administered with blood products?

Correct Answer: D

Rationale: The only IV solution that may be administered with blood products is normal saline.

Question 3 of 5

A nurse preparing to start an IV on a newly admitted patient teaches the patient about the procedure and begins to prepare the site. The nurse should always start by:

Correct Answer: C

Rationale: Before preparing the skin, the nurse should ask the patient if he or she is allergic to latex or iodine, which are products commonly used in setting up for IV therapy. A local reaction could result in irritation to the IV site or, in the extreme, it could result in anaphylaxis, which can be life threatening.

Question 4 of 5

A patient who is in renal failure partially loses the ability to regulate changes in pH because the kidneys:

Correct Answer: C

Rationale: The kidneys regulate the bicarbonate level in the ECF; they can regenerate bicarbonate ions as well as reabsorb them from the renal tubular cells. In respiratory acidosis and most cases of metabolic acidosis, the kidneys excrete hydrogen ions and conserve bicarbonate ions to help restore balance.

Question 5 of 5

A patient's lab results show a slight decrease in potassium. The physician has declined to treat with drug therapy but has suggested increasing the potassium through diet. Which of the following would be a good source of potassium?

Correct Answer: D

Rationale: Bananas are high in potassium. Apples, carrots, and asparagus are not high in potassium.

Similar Questions

A patient's lab results show a slight decrease in potassium. The physician has declined to treat with drug therapy but has suggested increasing the potassium through diet. Which of the following would be a good source of potassium?
The nurse assessing skin turgor in an elderly patient should remember that:
A 65-year-old male patient was admitted to a medical-surgical unit 72 hours ago with pyloric stenosis; a nasogastric tube was inserted upon admission and has been on low intermittent suction since then. The nurse taking care of the patient notices that his potassium is very low and becomes concerned that the patient may be at risk for:
The patient asks the nurse if he will die if air bubbles get into the IV tubing. What is the nurse's best response?
A patient who is hospitalized with a possible electrolyte imbalance is disoriented and weak, has an irregular pulse, and takes hydrochlorothiazide. He most likely suffers from:

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