ATI RN
Fluid and Electrolytes ATI Questions
Question 1 of 5
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:
Correct Answer: D
Rationale: The symptoms of hypokalemia include GI, cardiac, renal, respiratory, and neurologic disturbances. The use of potassium-wasting diuretics, such as hydrochlorothiazide, without potassium replacement therapy is a primary cause of hypokalemia.
Question 2 of 5
Which of the following might the nurse assess in a patient diagnosed with hypermagnesemia?
Correct Answer: A
Rationale: To gauge a patient's magnesium status, the nurse should check deep tendon reflexes. If the reflex is absent, this may indicate high serum magnesium.
Question 3 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.
Question 4 of 5
A patient with hypokalemia and heart failure is admitted to the telemetry unit. The nurse is aware that hypokalemia could cause which of the following abnormalities on an electrocardiogram (ECG)?
Correct Answer: D
Rationale: Hypokalemia often causes characteristic ECG changes, including an elevated U wave and flattened T waves.
Question 5 of 5
The nurse assessing skin turgor in an elderly patient should remember that:
Correct Answer: C
Rationale: Inelastic skin turgor is a normal part of aging. Dehydration, not overhydration, causes inelastic skin with tenting. Overhydration, not dehydration, causes the skin to appear edematous and spongy. Normal skin turgor is dry and firm.
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