Fluid 2

54 Questions | Total Attempts: 909

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Fluid Quizzes & Trivia

Exam


Questions and Answers
  • 1. 
            1.   When an excess of body fluid exists in the intravascular compartment, all of the following signs can be expected except:
    • A. 

      Rales

    • B. 

      A bounding pulse

    • C. 

      Engorged peripheral veins

    • D. 

      An elevated hematocrit level

  • 2. 
            2.   A homeless client is brought into the emergency department with indications of extremely poor nutrition. Arterial blood gas levels are assessed, and the nurse anticipates that this client will demonstrate which of the following results?
    • A. 

      PH 7.3, PaCO2 38 mm Hg, HCO3 19 mEq/L

    • B. 

      PH 7.5, PaCO2 34 mm Hg, HCO3 20 mEq/L

    • C. 

      PH 7.35, PaCO2 35 mm Hg, HCO3 24 mEq/L

    • D. 

      PH 7.52, PaCO2 48 mm Hg, HCO3 28 mEq/L

  • 3. 
            3.   When a client’s serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the status of which body system?
    • A. 

      Neurological

    • B. 

      Gastrointestinal

    • C. 

      Pulmonary

    • D. 

      Hepatic

  • 4. 
            4.   An 8-year-old is admitted to the pediatric unit with pneumonia. On assessment the nurse notes that the child is warm and flushed, is lethargic, has difficulty breathing, and has moist rales. The nurse determines that the child is suffering from:
    • A. 

      Metabolic acidosis

    • B. 

      Respiratory acidosis

    • C. 

      Respiratory alkalosis

    • D. 

      Metabolic alkalosis

  • 5. 
            5.   Arterial blood gas levels are obtained for the client. If the client’s results are pH 7.48, CO2 42 mm Hg, and HCO3 32 mEq/L, the client is exhibiting which one of the following acid-base imbalances?
    • A. 

      Metabolic acidosis

    • B. 

      Respiratory acidosis

    • C. 

      Respiratory alkalosis

    • D. 

      Metabolic alkalosis

  • 6. 
            6.   The nurse is aware that the compensating mechanism that is most likely to occur in the presence of respiratory acidosis is:
    • A. 

      Hyperventilation to decrease the CO2 levels

    • B. 

      Hypoventilation to increase the CO2 levels

    • C. 

      Retention of HCO3 by the kidneys to increase the pH level

    • D. 

      Excretion of HCO3 by the kidneys to decrease the pH level

  • 7. 
            7.   Of all of the following clients, the nurse recognizes that the individual who is most at risk for a fluid volume deficit is:
    • A. 

      A 6-month-old learning to drink from a cup

    • B. 

      A 12-year-old who is moderately active in 80° F weather

    • C. 

      A 42-year-old with severe diarrhea

    • D. 

      A 90-year-old with frequent headaches

  • 8. 
    • A. 

      0.45% normal saline (NS)

    • B. 

      10% dextrose

    • C. 

      5% dextrose in lactated Ringer’s

    • D. 

      Dextrose 5% in NS

  • 9. 
            9.   The client has been experiencing right flank and lower back pain. Which of the following laboratory values would be most desirable for the nurse to obtain based on the client’s assessment?
    • A. 

      Serum potassium

    • B. 

      Serum sodium

    • C. 

      Serum magnesium

    • D. 

      Serum calcium

  • 10. 
          10.   The health care provider orders 1000 mL of D5LR with 20 mEq KCl to run for 8 hours. Using an infusion set with a drop factor of 15 gtt/mL, the nurse calculates the flow rate to be:
    • A. 

      12 gtt/min

    • B. 

      22 gtt/min

    • C. 

      32 gtt/min

    • D. 

      42 gtt/min

  • 11. 
          11.   The nurse will be starting a new intravenous infusion and needs to select the site for the insertion. In selection of a site, the nurse should:
    • A. 

      Start with the most proximal site

    • B. 

      Look for hard, cordlike veins

    • C. 

      Use the dominant arm

    • D. 

      Avoid sites on the extremity away from a dialysis graft

  • 12. 
          12.   A client has intravenous therapy for the administration of antibiotics and is stating that the “IV site hurts and is swollen.” Which of the following information assessed on the client indicates the presence of phlebitis, as opposed to infiltration?
    • A. 

      Intensity of the pain

    • B. 

      Warmth of integument surrounding the IV site

    • C. 

      Amount of subcutaneous edema

    • D. 

      Skin discoloration of a bruised nature

  • 13. 
          13.   A client complains of a headache, nausea, and vomiting during a blood transfusion. Which one of the following actions should the nurse take immediately?
    • A. 

      Check the vital signs.

    • B. 

      Stop the blood transfusion.

    • C. 

      Slow down the rate of blood flow.

    • D. 

      Notify the health care provider and blood bank personnel.

  • 14. 
          14.   For a client with a nursing diagnosis of excess fluid volume, the nurse is alert to which one of the following signs and symptoms?
    • A. 

      Weak, thready pulse

    • B. 

      Hypertension

    • C. 

      Dry mucous membranes

    • D. 

      Flushed skin

  • 15. 
          15.   A client is currently taking Lasix and digoxin. As a result of the medication regimen, the nurse is alert to the presence of:
    • A. 

      Cardiac dysrhythmias

    • B. 

      Severe diarrhea

    • C. 

      Hyperactive reflexes

    • D. 

      Peripheral cyanosis

  • 16. 
          16.   A rapid infusion of citrated blood has been given to the client. The nurse observes for:
    • A. 

      Diaphoresis

    • B. 

      Anxiety

    • C. 

      Chvostek’s sign

    • D. 

      Nausea and vomiting

  • 17. 
          17.   For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects signs and symptoms consistent with:
    • A. 

      Metabolic acidosis

    • B. 

      Metabolic alkalosis

    • C. 

      Respiratory acidosis

    • D. 

      Respiratory alkalosis

  • 18. 
          18.   The single best indicator of fluid status is the nurse’s assessment of the client’s:
    • A. 

      Skin turgor

    • B. 

      Intake and output

    • C. 

      Serum electrolyte levels

    • D. 

      Daily weight

  • 19. 
          19.   An IV solution of 125 mL is to be infused over a 1-hour period. A microdrip infusion set will be used. The nurse calculates the infusion rate as:
    • A. 

      32 gtt/min

    • B. 

      60 gtt/min

    • C. 

      125 gtt/min

    • D. 

      250 gtt/min

  • 20. 
          20.   A client is admitted to the hospital with a diagnosis of adrenal insufficiency. In preparing to complete the admission history, the nurse anticipates that the client will have experienced:
    • A. 

      Decreased muscle tone

    • B. 

      Hypertension

    • C. 

      Diarrhea

    • D. 

      Fever

  • 21. 
          21.   In reviewing the results of the client’s blood work, the nurse recognizes that the unexpected value that should be reported to the health care provider is:
    • A. 

      Calcium 3.9 mEq/L

    • B. 

      Sodium 140 mEq/L

    • C. 

      Potassium 3.5 mEq/L

    • D. 

      Magnesium 2.1 mEq/L

  • 22. 
          22.   The nurse anticipates that the client with a fluid volume excess will manifest a(n):
    • A. 

      Increased urine specific gravity

    • B. 

      Decreased body weight

    • C. 

      Increased blood pressure

    • D. 

      Decreased pulse strength

  • 23. 
          23.   The nurse recognizes that the client, based on the imbalance that is present, will require fluid replacement with isotonic solution. One of the isotonic solutions that may be ordered by the health care provider is:
    • A. 

      0.45% saline

    • B. 

      Lactated Ringer’s

    • C. 

      5% dextrose in normal saline

    • D. 

      5% dextrose in lactated Ringer’s

  • 24. 
          24.   A client has severe anemia and will be receiving blood transfusions. The nurse prepares and begins the infusion. Ten minutes after the infusion has begun, the client develops tachycardia, chills, and low back pain. After stopping the transfusion, the nurse should:
    • A. 

      Administer an antipyretic

    • B. 

      Begin an infusion of epinephrine

    • C. 

      Run normal saline through the blood tubing

    • D. 

      Obtain and send a urine specimen to the laboratory

  • 25. 
          25.   A client is prescribed 0.9% sodium chloride (normal saline), which is an isotonic solution. The nurse recognizes the primary goal of such intravenous therapy is to:
    • A. 

      Expand the volume of fluid in the vascular system

    • B. 

      Pull fluid from the cells

    • C. 

      Keep protein levels normal

    • D. 

      Move fluid into the cells