44) The nurse reviews the electrolyte results of an
assigned client and notes that the potassium level is 5.7
mEq/L (5.7 mmol/L). Which patterns would the nurse watch for
on the cardiac monitor as a result of the labo
...
44) The nurse reviews the electrolyte results of an
assigned client and notes that the potassium level is 5.7
mEq/L (5.7 mmol/L). Which patterns would the nurse watch for
on the cardiac monitor as a result of the laboratory
value? Select all that apply.
Tall peaked T waves
Widened QRS complexes
45) Which client is at risk for the development of a sodium
level at 130 mEq/L (130 mmol/L)?
The client who is taking
diuretics
46) The nurse is caring for a client with heart failure who
is receiving high doses of a diuretic. On assessment, the
nurse notes that the client has flat neck veins, generalized
muscle weakness, and diminished deep tendon reflexes. The
nurse suspects hyponatremia. What additional signs would the
nurse expect to note in a client with hyponatremia?
Hyperactive bowel sounds
47) The nurse reviews a client's laboratory report and
notes that the client's serum phosphorus (phosphate) level
is 1.8 mg/dL (0.45 mmol/L). Which condition most
likely caused this serum phosphorus level?
Malnutrition
48) The nurse is reading a health care provider's (HCP's)
progress notes in the client's record and reads that the HCP
has documented "insensible fluid loss of approximately 800
mL daily." The nurse makes a notation that insensible fluid
loss occurs through which type of excretion?
Integumentary output
49) The nurse is assigned to care for a group of clients.
On review of the clients' medical records, the nurse
determines that which client is most likely at risk for a
fluid volume deficit?
A client with an ileostomy
50) The nurse caring for a client who has been receiving
intravenous (IV) diuretics suspects that the client is
experiencing a fluid volume deficit. Which assessment
finding would the nurse note in a client with this
condition?
Weight loss and poor skin
turgor
51) On review of the clients' medical records, the nurse
determines that which client is at risk for fluid volume
excess?
The client with kidney disease
and a 12-year history of
diabetes mellitus
52) Which client is at risk for the development of a
potassium level of 5.5mEq/L (5.5 mmol/L)?
The client who has sustained a
traumatic burn
53) The nurse reviews the arterial blood gas results of a
client and notes the following: pH 7.45, Paco2 of 30 mm Hg
(30 mm Hg), and HCO3
– of 20 mEq/L (20 mmol/L). The nurse
analyzes these results as indicating which condition?
Respiratory alkalosis,
compensated
54) The nurse is caring for a client with a nasogastric
tube that is attached to low suction. The nurse monitors the
client for manifestations of which disorder that the client
is at risk for?
Metabolic alkalosis
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