Fluid And Electrolyte Imbalance Test Questions!

10 Questions | Total Attempts: 744

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Fluid And Electrolyte Imbalance Test Questions!

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Questions and Answers
  • 1. 
    A client with hypoparathyroidism complains of numbness and tingling in his fingers and around the mouth. The nurse would assess for what electrolyte imbalance?
    • A. 

      Hyponatremia

    • B. 

      Hypocalcemia

    • C. 

      Hyperkalemia

    • D. 

      Hypermagnesemia

  • 2. 
    An older adult client admitted with heart failure and a sodium level of 113 mEq/L is behaving aggressively toward staff and does not recognize family members. When the family expresses concern about the client's behavior, the nurse would respond most appropriately by stating
    • A. 

      The client is suffering from dementia

    • B. 

      Disorientation during hospitalization is common among elderly

    • C. 

      The sodium level is low, and the confusion will resolve as the levels normalize.

    • D. 

      The sodium level is high and the behavior is a result of dehydration.

  • 3. 
    The nurse should monitor for clinical manifestations of hypophosphatemia in which of the following clients?
    • A. 

      A client on calcium and Vit. D supplementation for osteoporosis

    • B. 

      Aclient receiving Total Parentral Nutrition

    • C. 

      A client on hemodialysis for chronic renal failure

    • D. 

      Aclient with hypoparathyroidism secondary to thyroid gland removal

  • 4. 
    A client with pancreatitis has been receiving potassium supplementation for four days since being admitted with a serum potassium of 3.0 mEq/L. Today the potassium level is 3.1 mEq/L. Which of the following laboratory values should the nurse check before notifying the physician of the client's failure to respond to treatment?
    • A. 

      Sodium

    • B. 

      Phosphorous

    • C. 

      Calcium

    • D. 

      Magnesium

  • 5. 
    The nurse should include which of the following instructions to assist in controlling phosphorus levels for a client in renal failure?    
    • A. 

      Increase intake of diary products and nuts

    • B. 

      Take aluminium based antacids after meals

    • C. 

      Reduce intake of chocolate, meat and whole grains

    • D. 

      Avoid calcium supplements

  • 6. 
    A client with a recent thyroidectomy complains of numbness and tingling around the mouth. Which of the following findings indicates the serum calcium is low?      
    • A. 

      Bone pain

    • B. 

      Depressed deep tendon reflexes

    • C. 

      Positive Chovstek's sign

    • D. 

      Nausea

  • 7. 
    The nurse is admitting a client with a potassium level of 6.0 mEq/L. The nurse reports this finding as a result of
    • A. 

      Acute renal failure

    • B. 

      Malabsorption syndrome

    • C. 

      Nasogastric drainage

    • D. 

      Laxative abuse

  • 8. 
    The nurse assesses a client to be experiencing muscle cramps, numbness, and tingling of the extremities, and twitching of the facial muscle and eyelid when the facial nerve is tapped. THe nurse reports this assessment as consistent with which of the following?
    • A. 

      Hypokalemia

    • B. 

      Hypernatremia

    • C. 

      Hypocalcemia

    • D. 

      Hypermagnesemia

  • 9. 
    The nurse is evaluating the serum laboratory results on the following four clients. Which of the following laboratory results is a priority for the nurse to report first?
    • A. 

      A client with osteoporosis and and serum calcium level 10.6 mg/dl

    • B. 

      A client with acute renal failure and Mg2+ level 2mEq/l

    • C. 

      A client with eating disorder and potassium level 3.6mEq/L

    • D. 

      A client with dehydration and sodium level 149 mEq/L

  • 10. 
    The client is admitted to a nursing unit from a long-term care facility with a hematocrit of 56% and a serum sodium level of 152 mEq/L. Which condition would be a cause for these findings?
    • A. 

      Overhydration

    • B. 

      Anemia

    • C. 

      Acute renal failure

    • D. 

      Dehydration