Electrolyte NCLEX questions

Electrolyte NCLEX questions ScienceMedicineNursing melissa_griffin Save Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview Fluid & Electrolyte NCLEX Practice ...145 terms ngreen14Preview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview Med Su 10 terms kwa A nurse is caring for a client with cirrhosis. The nurse notes that the client is dyspneic and that crackles are heard on auscultation of the lungs; fluid volume excess is suspected. What additional signs would the nurse expect to note in this client if a fluid volume excess is present?

• Flat hand and neck veins
• A weak and thread pulse
• An increased urine output
• An increased blood pressure

4.The nurse is reviewing the health records of assigned clients. The nurse plans care knowing that which client is at risk for a potassium deficit?

• The client with renal disease
• The client with Addison's disease
• The client with metabolic acidosis
• The client receiving nasogastric suction

4.A nurse reviews a client's electrolyte results and notes a potassium level of 5.5 mEq/L. The nurse understands that a potassium value at this level would be noted with which condition?

• Colitis
• Traumatic burn
• Cushing's syndrome
• Overuse of laxatives

2.

A nurse reviews a client's electrolyte results and notes that the potassium level is 5.4 mEq/L. Which of the following would the nurse note on the cardiac monitor as a result of this lab value?

• ST elevation
• Peaked P wave
• Prominent U wave
• Narrow, peaked T waves

4.A nurse is reading the physician's progress notes in the client's record and sees that the physician has documented "insensible fluid loss of approximately 800 mL daily." The nurse understands that this type of fluid loss can occur through:

• The skin
• Urinary output
• Wound drainage
• The GI tract

1.The nurse is reviewing the health records of assigned clients. The nurse plans care knowing that which client is at the lowest risk for the development of third-spacing?

• The client with sepsis
• The client with cirrhosis
• The client with renal failure
• The client with diabetes mellitus

4.The nurse is reviewing the health records of assigned clients. The nurse plans care knowing that which client is at risk for fluid volume deficit?

• The client with cirrhosis
• The client with a colostomy
• The client with decreased kidney function
• The client with CHF

2.A nurse is caring for a client who has ben taking diuretics on a long-term basis. A fluid volume deficit is suspected. Which finding would be noted in the client with this condition?

• Gurgling respirations
• Increased blood pressure
• Decreased hematocrit level
• Increased specific gravity of the urine

4.A nurse reviews electrolyte values and notes a sodium level of 130 mEq/L. the nurse understands that this sodium level would be noted in a client with which condition?

• The client with watery diarrhea
• The client with diabetes insipidus
• The client with an inadequate daily water intake
• The client with the SIADH

4.

A nurse is caring for a client with leukemia and notes that the client has poor skin turgor and flat neck and hand veins. The nurse suspects hyponatremia. What additional signs would the nurse expect to note in this client if hyponatremia is present?

• Intense thirst
• Slow bounding pulse

3.Dry mucous membranes

• Postural blood pressure changes

4.A nurse is caring for a client with a diagnosis of hyperparathyroidism. Lab studies are performed, and the serum calcium level is 12.0 mg/dL. On the basis of this lab value, the nurse takes which action?

• Documents the value in the client's record
• Informs the RN of the lab value
• Places the lab result form in the client's chart
• Reassures the client that the lab result is normal

2.A nurse reviews the client's serum calcium level and notes the level is 8.0 mg/dL. The nurse understands that which condition would cause this serum calcium level?

1.Renal disease

• Prolonged bedrest
• Hyperparathyroidism
• Excessive ingestion of vitamin D

2.A nurse is caring for a client with a suspected diagnosis of hypercalcemia. Which of the following signs would be an indication of this diagnosis?

• Twitching
• + Trousseau's sign
• Hyperactive bowel sounds
• Generalized muscle weakness

4.A nurse is instructing a client on how to decrease the intake of calcium in the diet. The nurse tells the client that which food item contains the least amount of calcium?

• Milk
• Butter
• Spinach
• Collard greens

2.A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication would the nurse prepare to administer as prescribed to the client?

• Calcium chloride
• Calcium gluconate
• Calcitonin (Miacalcin)
• Large doses of vitamin D

3.

A nurse is instructing a client on how to decrease the intake of potassium in the diet. The nurse tells the client that which food contains the least amount of potassium?

• Lettuce
• Potatoes
• Apricots
• Avocados

1.The nurse is caring for a client with renal failure. The lab results reveal a magnesium level of 3.6 mg/dL. Which of the following signs would the nurse expect to note in the client based on this level?

• Twitching
• Irritability
• Hyperactive reflexes
• Loss of deep tendon reflexes

4.The nurse reviews the client's serum phosphorus level and notes that the level is 2.0 mg/dL. The nurse understands that which condition caused this serum phosphorus level?

• Alcoholism
• Chemotherapy
• Hypoparathyroidism
• Vitamin D toxicity

1.A nurse is instructing a client regarding how to decrease the intake of phosphorus in the diet. The nurse tells the client that which food item contains the least amount of phosphorus?

• Fish
• Oranges
• Almonds
• Whole-grain bread

2.The nurse is told in report that the client has a positive Chvostek's sign. What data would the nurse expect to note during assessment? (select all that apply)

• Coma
• Tetany
• Diarrhea
• Possible seizure activity
• Hypoactive bowel sounds
• Positive Trousseau's sign

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