A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. Which client is at greatest risk for dehydration? A 76 year old who is cognitively impaired. An 83 year old with congestive heart failure. A 55 year old who recently received intravenous fluids. A 36 year old who is prescribed long-term steroid therapy.

A 76 year old who is cognitively impaired.

A nurse is caring for an older client who exhibits dehydration-induced confusion. Which intervention by the nurse is best? Increase the IV flow rate to 250 mL/hr. Place the client in a high-Fowler position. Measure intake and output every 4 hours. Assess client further for fall risk.

Assess client further for fall risk.

After teaching a client who is being treated for dehydration, a nurse assesses the client's understanding. Which statement indicates that the client correctly understood the teaching? I will use a salt substitute when making and eating my meals. I will not drink liquids after 6 p.m. so I won't have to get up at night. I will weigh myself each morning before I eat or drink. I must drink a quart (liter) of water or other liquid each day.

I will weigh myself each morning before I eat or drink.

A nurse is assessing clients on a medical-surgical unit. Which adult client does the nurse identify as being at greatest risk for insensible water loss? Client who is constipated with abdominal pain. Client taking furosemide. Client who is on fluid restrictions. Anxious client who has tachypnea.

Anxious client who has tachypnea.

A nurse is evaluating a client who is being treated for dehydration. Which assessment result does the nurse correlate with a therapeutic response to the treatment plan? Decreased skin turgor on the client's posterior hand and forehead Decreased orthostatic changes when standing Increased urine specific gravity from 1.012 to 1.030 g/mL Increased respiratory rate from 12 to 22 breaths/min

Decreased orthostatic changes when standing

After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the client's understanding. Which food choice for lunch indicates that the client correctly understood the teaching? Slices of smoked ham with potato salad Bowl of tomato soup with a grilled cheese sandwich Grilled chicken breast with glazed carrots Salami and cheese on whole-wheat crackers

Grilled chicken breast with glazed carrots

A nurse is assessing clients for fluid and electrolyte imbalances. Which client will the nurse assess first for potential hyponatremia? A 73 year old with tachycardia who is receiving digoxin. A 34 year old who is NPO and receiving rapid intravenous D5W infusions. A 50 year old with an infection who is prescribed a sulfonamide antibiotic. A 67 year old who is experiencing pain and is prescribed ibuprofen.

A 34 year old who is NPO and receiving rapid intravenous D5W infusions.

A nurse teaches a client who is at risk for hyponatremia. Which statement does the nurse include in this client's teaching? Have your spouse watch you for irritability and anxiety. Bake or grill your meat rather than frying it. Notify the clinic if you notice muscle twitching. Call your primary health care provider for diarrhea.

Call your primary health care provider for diarrhea.

A nurse cares for a client who has a serum potassium of 6.5 mEq/L and is exhibiting cardiovascular changes. Which intervention will the nurse implement first? Prepare to administer dextrose 20% and 10 units of regular insulin IV push. Provide a heart-healthy, low-potassium diet. Prepare to administer patiromer by mouth. Prepare the client for hemodialysis treatment.

Prepare to administer dextrose 20% and 10 units of regular insulin IV push.

Understanding Fluid and Electrolyte Imbalances in Clinical Settings

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Medicine - Nursing

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Cards in this deck(24)

A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. Which client is at greatest risk for dehydration?

A nurse is caring for an older client who exhibits dehydration-induced confusion. Which intervention by the nurse is best?

After teaching a client who is being treated for dehydration, a nurse assesses the client's understanding. Which statement indicates that the client correctly understood the teaching?

A nurse is assessing clients on a medical-surgical unit. Which adult client does the nurse identify as being at greatest risk for insensible water loss?

A nurse is evaluating a client who is being treated for dehydration. Which assessment result does the nurse correlate with a therapeutic response to the treatment plan?

After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the client's understanding. Which food choice for lunch indicates that the client correctly understood the teaching?

A nurse is assessing clients for fluid and electrolyte imbalances. Which client will the nurse assess first for potential hyponatremia?

A nurse teaches a client who is at risk for hyponatremia. Which statement does the nurse include in this client's teaching?

A nurse is caring for a client who has the following laboratory results: potassium 2.4 mEq/L, magnesium 1.8 mEq/L, calcium 8.5 mEq/L, and sodium 144 mEq/L. Which assessment does the nurse complete first?

A nurse cares for a client who has a serum potassium of 6.5 mEq/L and is exhibiting cardiovascular changes. Which intervention will the nurse implement first?

The nurse is caring for a client who has fluid overload. What action by the nurse takes priority?

A nurse is assessing a client with hypokalemia, and notes that the client's handgrip strength has diminished since the previous assessment 1 hour ago. What action does the nurse take first?

A new nurse is preparing to administer IV potassium to a client with hypokalemia. What action indicates the nurse needs to review this procedure?

A nurse is caring for a client with hypocalcemia. Which action by the nurse shows poor understanding of this condition?

A nurse is caring for a client who has a serum calcium level of 14 mg/dL. Which primary health care provider order does the nurse implement first?

A nurse is caring for an older adult client who is admitted with moderate dehydration. Which intervention will the nurse implement to prevent injury while in the hospital?

A nurse assesses a client who is admitted for treatment of fluid overload. Which signs and symptoms does the nurse expect to find? (Select all that apply.)

A nurse assesses a client who is prescribed a medication that inhibits aldosterone secretion and release. For which potential complications will the nurse assess? (Select all that apply.)

A nurse is assessing a client who has an electrolyte imbalance related to renal failure. For which potential complications of this electrolyte imbalance does the nurse assess? (Select all that apply.)

A nurse is caring for clients with electrolyte imbalances on a medical-surgical unit. Which clinical signs and symptoms are correctly paired with the contributing electrolyte imbalance? (Select all that apply.)

After administering potassium chloride, a nurse evaluates the client's response. Which signs and symptoms indicate that treatment is improving the client's hypokalemia? (Select all that apply.)

A nurse develops a plan of care for an older client who has a fluid overload. What interventions will the nurse include in this client's care plan? (Select all that apply.)

A nurse is caring for clients with electrolyte imbalances on a medical-surgical unit. Which common causes are correctly paired with the corresponding electrolyte imbalance? (Select all that apply.)

A nurse is caring for several clients at risk for fluid imbalances. Which laboratory results are paired with the correct potential imbalance? (Select all that apply.)

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