Fluid and Electrolytes ATI

Questions 40

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Fluid and Electrolytes ATI Questions

Question 1 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.

Question 2 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 3 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 4 of 5

A nurse sees a variety of patients in the community health clinic. Which of the following patients would be at the greatest risk of dehydration?

Correct Answer: B

Rationale: Infants are particularly vulnerable to dehydration due to diarrhea, as they have a higher fluid turnover and less reserve.

Question 5 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.

Similar Questions

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?
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 'she 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:
A nurse in the medical-surgical unit is giving a patient with low blood pressure a hypertonic solution, which will increase the number of dissolved particles in his blood, creating pressure for fluids in the tissues to shift into the capillaries and increase the blood volume. Which of the following terms is associated with this process?
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 nurse is assessing the patient for the presence of a Chvostek's sign. What electrolyte imbalance does a positive Chvostek's sign indicate?

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