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*NURSING > QUESTIONS & ANSWERS > AQ Fluid and Electrolyte (All)

AQ Fluid and Electrolyte

Document Content and Description Below

1. A client admitted for uncontrolled hypertension and chest pain was started on a daily diuretic two days ago upon admission, with prescriptions for a daily basic metabolic panel. The client's potassium level this morning is 2.7 mEq/L. Which action should the nurse take next? a. Notify the healthcare provider that the potassium level is below normal 2. A client, receiving a potassium infusion via a peripheral intravenous (IV) site, complains of burning sensation above the IV site. What should the nurse do first? a. Check the IV access for blood return 3. An 85-year-old client has a serum potassium level of 6.7 mEq/L. Which nursing action is a priority at this time? a. Monitor for cardiovascular irregularities 4. An adolescent is hospitalized for dehydration. An intravenous infusion of 1000 mL of 0.9% sodium chloride with 20 mEq/L of potassium chloride is prescribed. Hospital policy states that potassium should be mixed in a 500-mL bag of 0.9% sodium chloride. The potassium chloride label reads "2 mEq/mL." How many milliliters of potassium chloride should the nurse add to the 500 mL-bag? Record your answer as a whole number. mL a. 10mL 5. A health care provider prescribes 20 mEq potassium chloride to be given to a client over an 8- hour period by IV drip in 1000 mL of D5W. The IV equipment is calibrated at 10 drops per milliliter. At how many drops per minute should the nurse regulate the IV? Record your answer using a whole number. drops/minute a. 21 drops/minute 6. A nurse advises a client receiving furosemide (Lasix) to increase potassium intake. Which fruit should the nurse encourage the client to eat? Select all that apply. a. Prune b. Banana 7. The laboratory data for a client with prolonged vomiting reveal arterial blood gases of pH 7.51, Pco2 of 50 mm Hg, HCO3of 58 mEq/L, and a serum potassium level of 3.8 mEq/L. The nurse concludes that the findings support what diagnosis? a. Metabolic Alkalosis 8. At 10 AM the nurse hangs a 1000 mL bag of D5W with 20 mEq of potassium chloride to be administered at 80 mL/hr. At noon the health care provider prescribes a stat infusion of an intravenous (IV) antibiotic of 100 mL to be administered via piggyback over one hour. How much later than expected will it take the primary bag to empty if the nurse interrupts the primary infusion to use the circulatory access for the secondary infusion of the antibiotic? a. One hour 9. A client is admitted to the hospital with a diagnosis of dehydration and hypokalemia. What is important for the nurse to consider when administering potassium chloride intravenously (IV) to this client? a. Oliguria is an indication for withholding IV potassium 10. The nurse provides medication teaching to a client on diuretic therapy who receives a prescription for potassium supplements. The nurse concludes that the teaching was effective when the client states, "I should: a. Report any abdominal distress

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