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NUR 213 Fluid Electrolyte
- A nurse is admitting a client who has status asthmaticus. The client's ABG results are pH
7.32, PaO2 74mmHg, PaCO2 56mmHg, and HCO3- 26 mEq/L. The nurse should interpret these laboratory values as which of the following imbalances?
Answer Respiratory acidosis
- A nurse is admitting a client who takes 40mg furosemide daily for heart failure and has
experienced 3 days of vomiting. The nurses suspects hy- pokalemia. Which of the following medications should the nurse prepare to ad- minister?
Answer 0.9% sodium chloride with 10mEq/L of potassium chloride at 100mL/hr
- A nurse is assessing a client who has a phosphorus level of 2.4mg/dL. Which of the
following findings should the nurse expect?
Answer Slow peripheral pulses
- To screen a client for pheochromocytoma, a nurse schedules a vanillylman- delic acid test.
When teaching the client about this test, which of the following instructions should the nurse include?
Answer Restrict coffee intake 2 to 3 days prior to the test-- patients should avoid coffee, tea (even if they are decaffeinated), bananas, chocolate, and vanilla
- A nurse is teaching a client who has type 1 diabetes mellitus about how to prevent
complications during illness. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
Answer I will call my doctor if my blood sugar is more than 250mg/dL-- during illness patient needs to call >250mg/dL glucose reading
- A nurse is teaching a client who has diabetes mellitus. Which of the follow- ing should the
nurse include as an expected finding of diabetic ketoacidosis (DKA)?
Answer Blood glucose levels above 300mg/dL-- levels above 600mg/dL are an expected finding with hyperglycemic-hyperosmolar state
- A nurse is teaching a client who has diabetes mellitus about insulin injec- tions. The client's
prescription includes evening doses of insulin glargine and regular insulin. Which of the following instructions should the nurse include?-
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Answer Draw up the insulins into separate syringes-- insulin glargine isn't compatible with other insulins
- A nurse is teaching a client who has an autoimmune disease about the adverse effects of
long-term corticosteroid therapy. Which of the following effects should the nurse include?(select all that apply)
Answer Osteoporosis-- due to the suppression of bone formation and acceleration of bone resorption Moon-shaped face-- can cause characteristics of iatrogenic Cushing's syndrome, also can include a potbelly, and buffalo hump Increased risk of infection-- suppresses the immune system
- A nurse is teaching a client about the adrenocorticotropic hormone (ACTH) stimulation test.
The nurse should explain that the purpose of the test is
to assess for which of the following disorders?
Answer Addison's disease-- this test measures the cortisol response to ACTH, the response is absent or decreased in clients who have primary adrenal insufficiency
- A nurse is teaching a client about glycosylated hemoglobin (HbA1c) test- ing. Which of
the following statements should the nurse identify as an indi- cation that the client understands the information about this test?
Answer This test result is a good indicator of my average blood glucose levels-- average over the last 90 days (ATI says 120 days)
- A nurse is reviewing laboratory values for a client who has diabetic ke- toacidosis (DKA).
Which of the following results should the nurse expect?
Answer pH 7.32, PaCO2 36mmHg, HCO3 14mEq-- metabolic acidosis
- A nurse is providing discharge teaching for a client who has diabetes insipidus and has a
new prescription for desmopressin nasal spray. Which of the following instructions should the nurse include in the teaching?
Answer Blow your nose gently prior to using the nasal spray-- this prevents dilution of the medication with nasal secretions
- A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires
intranasal desmopressin. Which of the following information should the nurse include in the teaching plan?
Answer Report nocturia because it requires a dosage adjustment-- the dose will be adjusted until the
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