Fluid and Electrolytes ATI

Questions 40

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Fluid and Electrolytes ATI Questions

Question 1 of 5

What would be the best initial nursing actions prior to inserting an IV?

Correct Answer: C

Rationale: Prior to initiating an IV, the nurse should verify the physician's order for IV therapy.

Question 2 of 5

A nurse is visiting an 84-year-old woman living at home and recovering from hip surgery. The woman seems confused and has poor skin turgor, and she states that �€œshe stops drinking water early in the day because it is too difficult to get up during the night to go to the bathroom.�€ The nurse explains to the woman that:

Correct Answer: B

Rationale: In elderly patients, the clinical manifestations of fluid and electrolyte disturbances may be subtle or atypical. For example, fluid deficit may cause confusion or cognitive impairment in the elderly person.

Question 3 of 5

A patient is in the hospital with heart failure. The nurse notes during the evening assessment that the patient's neck veins are distended and the patient has dyspnea. What action should the nurse take?

Correct Answer: C

Rationale: The symptoms of neck vein distention and dyspnea suggest fluid overload. Placing the patient in semi-Fowler's position and administering diuretics can help reduce fluid volume and improve breathing.

Question 4 of 5

The nurse is caring for a patient who is diaphoretic from a fever. The amount of sodium excreted in the urine will:

Correct Answer: A

Rationale: Increased sweating (diaphoresis) leads to the loss of sodium and other electrolytes, resulting in higher sodium excretion in the urine.

Question 5 of 5

Your patient has the following arterial blood gas results: pH 7.26, PaCO2 28, HCO3 11 mEq/L. How would the nurse interpret the results?

Correct Answer: D

Rationale: A low pH indicates acidosis (normal pH is 7.35 to 7.45). The PaCO3 is also low, which causes alkalosis. The bicarb is low, which causes acidosis. The pH bicarb more closely corresponds with a decrease in pH, making the metabolic component the primary problem.

Similar Questions

Your patient has the following arterial blood gas results: pH 7.26, PaCO2 28, HCO3 11 mEq/L. How would the nurse interpret the results?
A 73-year-old man who slipped on a small carpet in his home and fell on his hip is alert and oriented; PERRLA (pupils equally round and reactive to light and accommodation) is intact, and he has come by ambulance to the emergency department (ED). Heart rate elevated, he is anxious and thirsty. A Foley catheter is in place and 40mL of urine is present. The nurse's most likely explanation for the urine output is:
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 is assessing the patient for the presence of a Chvostek's sign. What electrolyte imbalance does a positive Chvostek's sign indicate?
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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