Exam 2: NR226\/ NR 226 Fundamentals
Patient Care Exam| Complete Guide with
Verified Answers (2023\/ 2024 Update)-
Chamberlain
Q: Hypernatremia
Answer: Abnormally high sodium concentration in the blood
-water deficit
Q: What types of patients should you monitor for hypernatremia?
Answer: Diabetes insipidus
Osmotic diuresis
-Large amount of perspiration and respiratory water output
-Tube feedings, hypertonic parenteral fluids, or salt tablets
-Dysfunction of osmoreceptor driven thirst drive
Q: Causes of hypernatremia
Answer: Excessive \/ rapid IV administration of normal saline, inadequate water intake and
kidney disease
Q: Normal range for sodium
Answer: 135-145 mEq\/L
Q: Signs and symptoms of hypernatremia
Answer: Confusion, dry mucous membranes, seizures flat neck veins, dry skin, intense thirst,
dark urine, skin tenting
Q: True or false
Answer: a patient with hypernatermia will show very similar signs of dehydration<\/p>\n\n\n\n
Answer: True
Q: What blood work is done to look at sodium?
Answer: Chem 7, cmp
Q: Confusion is present in both hypo and hyper
Answer: Hyponatermia and hypernatremia
Q: Treatment for hypernatremia
Answer: Weigh patient daily, monitor I\/O, check vital signs, check skin turgor, place patient on
sodium restricted diet
Q: Clinical dehydration
Answer: ECV deficit and hypernatremia combined
Q: What IV drugs do you want to administer for a patient experiencing hyper- natremia
Answer: Hypotonic IV fluids or Isotonic IV fluids
Q: Hyponatremia
Answer: Abnormally low sodium ion concentration in the blood
Q: Causes of hyponatremia
Answer: Decreased sodium intake, increased sodium excre- tion due to suctioning
Q: Signs and symptoms of hyponatremia
Answer: Confusion, N\/V, abdominal cramping, weigh gain, cold clammy skin, SOB, crackles,
periorbital edema,
Q: Treatment for hyponatremia<\/p>\n\n\n\n
Answer: Provide high sodium foods, auscultate lungs
(crackles), monitor body weight and vital signs
Q: What IV solutions should be hung to help with hyponatremia?
Answer: Administer hypertonic IV fluids or Hypotonic IV fluids,
Q: Hyperkalemia
Answer: abnormally high potassium ion in concentration in the blood
Q: Whenever potassium is off, what should the nurse be worried about?
Answer: The heart; dysrhythmias occur in both hypo and hyperkalemia
Q: What should you use to help determine if a patient is experiencing a potassium imbalance?
Answer: Lab: CNP, BMP
Test: 12 lead ECG or EKG
Q: Causes of hyperkalemia
Answer: Excessive potassium intake, shift of potassium from cells into the ECF
-Renal issues (oliguria)
Q: Signs and symptoms of hyperkalemia
Answer: muscle weakness, cardiac dysrhyth- mias, numbness, tinging, irritability, flaccid
paralysis, N\/V\/D
Q: Treatment for hyperkalemia includes
Answer: sodium polystyrene and keyaxalate enemas, diet changes, no use of salt supplements
Q: Keyaxalate enema<\/p>\n\n\n\n
Answer: Removes excess potassium via the stool
Q: Sodium polystyrene
Answer: Removes excess potassium via bowel
Q: Why do you want to monitor acid base balance with hyperkalemia?
Answer: Too much potassium in the body can cause the blood to become acidic
Q: With hyper and hypokalemia what test should be ran?
Answer: ECG or EKG
Q: Hypokalemia
Answer: Low potassium concentration in the blood
Q: Causes of hypokalemia
Answer: NG tube suctioning, diuretics such as furosemide
Q: Signs and symptoms of hypokalemia
Answer: Cardiac dysrhythmias, thready, rapid, weak pulse, decreased blood pressure, muscle
weakness, shallow respiration, weight loss
Q: Treatment for hypokalemia
Answer: Increase potassium-rich foods, administer potas- sium supplements, monitor ECG,
EKG and vital signs
Q: Hypercalcemia
Answer: Abnormally high calcium concentration in the blood
<\/p>\n","protected":false},"excerpt":{"rendered":"
Exam 2: NR226\/ NR 226 FundamentalsPatient Care Exam| Complete Guide withVerified Answers (2023\/ 2024 Update)-ChamberlainQ: HypernatremiaAnswer: Abnormally high sodium concentration in the blood-water deficitQ: What types of patients should you monitor for hypernatremia?Answer: Diabetes insipidusOsmotic diuresis-Large amount of perspiration and respiratory water output-Tube feedings, hypertonic parenteral fluids, or salt tablets-Dysfunction of osmoreceptor driven thirst driveQ: […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111558","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111558","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111558"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111558\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111558"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111558"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}