Fluid, Electrolyte, And Acid Base Problems (Practice Mode)

5 Questions | Total Attempts: 2521

SettingsSettingsSettings
Please wait...
Fluid, Electrolyte, And Acid Base Problems (Practice Mode)

Mark the letter of the letter of choice then click on the next button. Answer will be revealed after each question. No time limit  to finish the exam. Good luck!


Questions and Answers
  • 1. 
    A client’s nursing diagnosis is Deficient Fluid Volume related to excessive fluid loss. Which action related to the fluid management should be delegated to a nursing assistant? 
    • A. 

      Administer IV fluids as prescribed by the physician.

    • B. 

      Provide straws and offer fluids between meals.

    • C. 

      Develop plan for added fluid intake over 24 hours

    • D. 

      Teach family members to assist client with fluid intake

  • 2. 
    The client also has the nursing diagnosis Decreased Cardiac Output related to decrease plasma volume. Which finding on assessment supports this nursing diagnosis? 
    • A. 

      Flattened neck veins when client is in supine position

    • B. 

      Full and bounding pedal and post-tibial pulses

    • C. 

      Pitting edema located in feet, ankles, and calves

    • D. 

      Shallow respirations with crackles on auscultation

  • 3. 
    The nursing care plan for the client with dehydration includes interventions for oral health. Which interventions are within the scope of practice for the LPN/LVN being supervised by the nurse? (Choose all that apply.) 
    • A. 

      Remind client to avoid commercial mouthwashes.

    • B. 

      Encourage mouth rinsing with warm saline.

    • C. 

      Assess lips, tongue, and mucous membranes

    • D. 

      Provide mouth care every 2 hours while client is awake

    • E. 

      Seek dietary consult to increase fluids on meal trays.

  • 4. 
    The physician has written the following orders for the client with Excess Fluid volume. The client’s morning assessment includes bounding peripheral pulses, weight gain of 2 pounds, pitting ankle edema, and moist crackles bilaterally. Which order takes priority at this time? 
    • A. 

      Weight client every morning.

    • B. 

      Maintain accurate intake and output.

    • C. 

      Restrict fluid to 1500 mL per day

    • D. 

      Administer furosemide (Lasix) 40 mg IV push

  • 5. 
    You have been pulled to the telemetry unit for the day. The monitor informs you that the client has developed prominent U waves. Which laboratory value should you check immediately? 
    • A. 

      Sodium

    • B. 

      Potassium

    • C. 

      Magnesium

    • D. 

      Calcium