Below are Fluids and Electrolytes NCLEX Practice Trivia Questions. If you are practicing to become a nurse, you need to have some information regarding fluids and electrolytes in the human body and how the food and fluids we take up come into play. By taking this quiz, you will get to learn some new facts about all this. Do give it a try!
Hyponatremia
Hypocalcemia
Hyperkalemia
Hypermagnesemia
50-year-old with pneumonia, diaphoresis, and high fevers
62-year-old with congestive heart failure taking loop diuretics
39-year-old with diarrhea and vomiting
60-year-old with lung cancer and syndrome of inappropriate antidiuretic hormone (SIADH)
Request a physical therapy consult from the physician
Ensure the client is safe from falls and check the most recent potassium level
Allow uninterrupted rest periods throughout the day
Encourage the client to increase intake of dairy products and green leafy vegetables.
Urine output.
Blood pressure.
Bowel movements.
ECG for tall, peaked T waves.
Call the physician and report results
Question the results and redraw the specimen
Encourage the client to increase the intake of bananas
Initiate seizure precautions
Absent patellar reflex
Diarrhea
Premature ventricular contractions
Increase in blood pressure
Assess for depressed deep tendon reflexes
Call the physician to report calcium level
Place an intravenous catheter in anticipation of administering calcium gluconate
Check to see if a serum albumin level is available
Administer an antiemetic prior to giving the digoxin
Encourage the client to increase fluid intake
Call the physician
Report the urine output
Report indications of nausea
Provide passive ROM exercises and encourage fluid intake
Teach the client to increase intake of whole grains and nuts
Place a tracheostomy tray at the bedside
Administer calcium gluconate IM as ordered
"The client may be suffering from dementia, and the hospitalization has worsened the confusion."
"Most older adults get confused in the hospital."
"The sodium level is low, and the confusion will resolve as the levels normalize."
"The sodium level is high and the behavior is a result of dehydration."
Turn down the infusion
Check the latest sodium level
Assess for signs of fluid overload
Place a call to the physician
Bisacodyl (Dulcolax) suppository
Fiber supplements
Docusate sodium
Milk of magnesia
Encourage the client to increase fluid intake
Administer the dose as ordered
Draw a potassium level and administer the dose if the level is low or normal
Notify the physician of the urine output and hold the dose
A client with osteoporosis taking vitamin D and calcium supplements
A client who is alcoholic receiving total parenteral nutrition
A client with chronic renal failure awaiting the first dialysis run
A client with hypoparathyroidism secondary to thyroid surgery
Eggs
Broccoli
Organ meats
Nuts
Canned salmon
Sodium
Phosphorus
Calcium
Magnesium
Increase intake of dairy products and nuts
Take aluminum-based antacids such as aluminum hydroxide (Amphojel) with or after meals
Reduce intake of chocolate, meats, and whole grains
Avoid calcium supplements
Administer a sedative
Place client in left lateral position
Place client in high-Fowler's position
Assist the client to breathe into a paper bag
Call the physician and report the change in client's condition
Turn the client's O2 up to 4 liters nasal cannula
Encourage the client to sit down and to take deep breaths
Encourage the client to rest and to use pursed-lip breathing technique
D5.45 NS at 50 ml/hr
0.9 NS at an open rate
D5W at 125 ml/hr
0.45 NS at open rate
PH of 7.43, PCO2 of 36, HCO3 of 26
PH of 7.41, PCO2 of 49, HCO3 of 30
PH of 7.33, PCO2 of 35, HCO3 of 17
PH of 7.25, PCO2 of 56, HCO3 of 28
Respiratory alkalosis
Respiratory acidosis
Metabolic alkalosis
Metabolic acidosis
Monitor intake and output
Encourage client to increase activity
Institute deep breathing exercises every hour
Provide reassurance to the client and administer sedatives
Deep tendon reflexes decreasing from +2 to +1
Bicarbonate rising from 20 mEq/L to 22 mEq/L
Urine pH less than 6
Serum potassium decreasing from 6.0 mEq/L to 4.5 mEq/L
"The fluid is an adverse reaction to chemotherapy."
"A decrease in activity has allowed extra fluid to accumulate in the tissues."
"Poor nutrition has caused decreased blood protein levels, and fluid has moved from the blood vessels into the tissues."
"Chemotherapy has increased your blood pressure, and fluid was forced out into the tissues."