An older was admitted to the medical unit with GI bleeding and fluid volume deficit. Clinical manifestations of this problem are (select all that apply). a. Weight loss b. Dry oral mucosa c. Full bounding pulse d. Engorged neck veins e. Decreased central venous pressure

The nursing care for a patient with hyponatremia and fluid volume excess includes

Which patient is at great risk for developing hypermagnesemia?

The lungs act as an acid base buffer by

A nurse is obtaining arterial blood gases for a client who has vomited for 24 hrs. The should expect which of the following acid-base imbalances to result from vomiting for 24 hrs.?

A charge nurse is teaching a group of nurses about conditions related to metabolic acidosis. which of the following statements by a unit nurse indicates that the teaching has been effective?

A nurse is assessing a client who has pancreatitis. The client arterial blood gases reveal metabolic acidosis. which of the following are expected findings? (Select all that apply) a. Tachycardia b. Hypertension c. Bounding pulses d. Hyperreflexia e. Dysrhythmia f. Tachypnea

A patient has the following arterial blood gas result: pH 7.52, PaCO2 30 mmHg, HCO3, 24 mEq/L. The nurse determines that these results indicate

A nurse is assessing a client who is dehydrate for fluid volume deficit. Which of the following findings should the nurse expect in the client?

A nurse is caring for an older adult client in a long-term care facility. The client has become weak and confused. He ate 40% of his breakfast and lunch. The client’s temperature is 38.3*C (100.9*F), pulse 92/min, respirations 20/min, and BP 108/60 mm Hg. He has lost ¾ lb. and reports dizziness when assisted to the bathroom. He also has a nonproductive cough with diminished breath sounds in the right lower lobe. Which of the following actions should the nurse take?

A nurse is caring for a client who has a serum sodium level 133 mEq/L and serum potassium level of 3.4 mEq/L. The nurse should recognize that which of the following treatments can result in these laboratory findings?

A nurse is caring for a client who has a serum potassium 5.4 mEq/L. The nurse should assess for which of the following manifestations?

A nurse is caring for a client who has a nasogastric tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalances?

A nurse is assessing a client who has hyperkalemia. The nurse should identify which of the following conditions as being associated with this electrolyte imbalance?

A nurse is assessing a client for Chvostek’s sign. Which of the following techniques should the nurse use to perform this test?

A nurse is caring for a client admitted with confusion and lethargy. The client was found at home unresponsive with an empty bottle of aspirin lying next to her bed. Vital signs reveal blood pressure 104/72 mm Hg, heart rate 116/min with regular rhythm, and respiratory rate 42/min and deep. Which of the following arterial blood gas findings should the nurse expect?

The nurse writes the problem of “fluid volume excess” (FVE). Which should be included in the plan of care?

The client is admitted with a serum sodium level of 110 mEq/L. which nursing intervention should be implemented?

The nurse is caring for client diagnosed with ketoacidosis (DKA). Which statement best explains the scientific rationale for the client’s kussmaul’s respiration?

The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Which assessment data will be of most concern to the nurse?

A patient who has a small cell carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should notify the health care provider about which assessment finding?

A patient with multiple draining wounds is admitted for hypovolemia. Which assessment would be the most accurate way for the nurse to evaluate fluid balance?

A patient who is taking a potassium-wasting diuretic for treatment of hypertension complains of generalized weakness. Which action is appropriate for the nurse to take?

The nurse notes that a patient who was admitted with diabetic ketoacidosis has rapid, deep respirations. Which action should the nurse take?

An older adult patient who is malnourished presents to the emergency department with a serum protein level of 5.2 g/dL. The nurse would expect which clinical manifestation?

A patient who is lethargic and exhibits deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should the nurse interpret these results?

The nurse is caring for a patient who has a calcium level of 12.1 mg/dL. Which nursing action should the nurse include on the care plan?

A patient has a magnesium level of 1.3 mg/dL. Which assessment would help the nurse identify a likely cause of this value?

A nurse is assessing a newly admitted patient with chronic heart failure who forgot to take prescribed medications and seems confused. The patient has peripheral edema and shortness of breath. Which assessment should the nurse complete first?

A patient is admitted to the emergency department with severe fatigue and confusion. Laboratory studies are done. Which laboratory value will require the most immediate action by the nurse?

The nurse notes a serum calcium level of 7.9 mg/dL for a patient who has chronic malnutrition. Which action should the nurse take next?

Which action should the nurse take first when a patient complains of acute chest pain and dyspnea soon after insertion of a centrally inserted IV catheter?

During the admission process, the nurse obtains information about a patient through a physical assessment and diagnostic testing. Based on the data shown in the accompanying figure, which nursing diagnosis is appropriate?