ATI Targeted Med-Surg Fluid, Electrolyte, and Acid-Base. 2022

While reviewing a clients laboratory results, a nurse notes a serum calcium level of 8.0 mg/dL. Which of the following actions should the nurse take? o Implement seizure precautions o Administer phosphate o Initiate ...

While reviewing a clients laboratory results, a nurse notes a serum calcium level of 8.0 mg/dL. Which of the following actions should the nurse take? o Implement seizure precautions o Administer phosphate o Initiate diuretic therapy o Prepare the client for hemodialysis A nurse is preparing to administer oral potassium for a client who has potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first? o Administer a hypertonic solution o Repeat the potassium level o Withhold the medication o Monitor for paresthesia A nurse is reviewing the laboratory report a client who has fluid volume excess. Which of the following laboratory values should the nurse expect? o Hemoglobin 20 g/dL o Hematocrit 34% o BUN 25 mg/dL o Urine specific gravity 1.050 A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect? o Hypotension o Peripheral edema o Facial flushing o Hyperreflexia A nurse is teaching nutritional strategies to a client who has a low serum calcium level and an allergy to milk. Which of the following statements by the client indicates an understanding of the teaching? o “I will eat more cheese because I cant drink milk” o “I need to avoid foods with vitamin D because I am allergic to milk” o “I will stop taking my calcium supplements if they irritate my stomach” o “I will add broccoli and kale to my diet” A nurse is reviewing the ABG results for four clients. Which of the following findings should the nurse identify as metabolic acidosis? o pH 7.51, PaO2 94 mm Hg, PaCO2 38 Hg, HCO3- 29 mEq/L This study source was downloaded by 100000835004878 from CourseHero.com on 04-07-2022 00:06:54 GMT -05:00 https://www.coursehero.com/file/39307108/Fluid-Electrolyte-and-Acid-Base-Questionsdocx/ o pH 7.48, PaO2 89 mm Hg, PaCO2 30 Hg, HCO3- 24 mEq/L o pH 7.36, PaO2 77 mm Hg, PaCO2 52 Hg, HCO3- 26 mEq/L o pH 7.26, PaO2 84 mm Hg, PaCO2 38 Hg, HCO3- 20 mEq/L A nurse is assessing a client who has a serum calcium level of 8.1 mg/dL. Which of the following findings is the priority for the nurse to assess? o Deep-tendon reflexes o Cardiac rhythm ( when using the airway, breathing, circulation approach to client care, the nurse should first assess the clients cardiac rhythm b/c this total serum calcium level is below the expected reference range. Hypocalcemia can cause ECG changes, bradycardia, or tachycardia) o Peripheral sensation o Bowel sounds A nurse is planning care for a client who has a serum potassium level of 3.0 mEq/L. The nurse should plan to monitor the client for which of the following findings? o Hyperactive deep tendon reflexes o Orthostatic hypotension (manifestation of hypokalemia) o Rapid, deep respirations o Strong, bounding pulse A nurse is admitting a client who has status asthmaticus. The clients ABG results are pH 7.32, PaO2 74 mmHg PaCO2 56 mm Hg and HCO3- 26 mEq/L. The nurse should interpret these laboratory values as which of the following imbalances? o Respiratory acidosis (status asthmaticus causes inadequate gas exchange, resulting in a low pH and PaO2, an elevated PaCO2, and an HCO3- range. These laboratory values indicate respiratory acidosis)