ATI RN
Fluid and Electrolytes ATI Questions
Question 1 of 5
A patient with diabetes insipidus is admitted to the intensive care unit after a motor vehicle accident that resulted in head trauma and damage to the pituitary gland. Diabetes insipidus can occur when there is a decreased production of which of the following?
Correct Answer: A
Rationale: Diabetes insipidus is characterized by a deficiency in antidiuretic hormone (ADH), leading to excessive urine output and thirst.
Question 2 of 5
The patient asks the nurse if he will die if air bubbles get into the IV tubing. What is the nurse's best response?
Correct Answer: B
Rationale: An air emboli is more often associated with central vein access. Usually only relatively large volumes of air administered rapidly are dangerous. It is more often a concern when air enters a central venous access line.
Question 3 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.
Question 4 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 5 of 5
A female patient is discharged from the hospital after having an episode of heart failure. She's prescribed daily oral doses of digoxin (Lanoxin) and furosemide (Lasix). Two days later, she tells her community health nurse that she feels weak and her heart 'flutters' frequently. What action should the nurse take?
Correct Answer: C
Rationale: Furosemide is a potassium-wasting diuretic. A low potassium level may cause weakness and palpitations. Telling the patient to rest more often won't help the patient if she's hypokalemic. Digoxin isn't causing the patient's symptoms, so she doesn't need to stop taking it. The patient should probably avoid caffeine, but this wouldn't resolve potassium depletion.
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