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ATI Med-Surg Test Questions Fluid and Electrolytes Balance and Disturbance 100% Correct Answers.

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ATI Med-Surg Test Questions Fluid and Electrolytes Balance and Disturbance 100% Correct Answers. Question A 64-year-old client is brought in to the clinic feeling thirsty with dry, sticky mucous membranes; decreased urine output; fever; a rough tongue; and is lethargic. Serum sodium level is ab...

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  • April 20, 2023
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ATI Med-Surg Test Questions Fluid and Electrolytes Balance
and Disturbance 100% Correct Answers, Download to score A

,Question
A 64-year-old client is brought in to the clinic feeling thirsty with dry, sticky mucous membranes; decreased
urine output; fever; a rough tongue; and is lethargic. Serum sodium level is above 145 mEq/l (145 mmol/L).
Should the nurse start salt tablets when caring for this client?

 No, sodium intake should be restricted.

Question
A client admitted with acute anxiety has the following arterial blood gas (ABG) values: pH, 7.55; partial
pressure of arterial oxygen (PaO2), 90 mm Hg; partial pressure of arterial carbon dioxide (PaCO2), 27 mm Hg;
and bicarbonate (HCO3–), 24 mEq/L. Based on these values, the nurse suspects:

 respiratory alkalosis.

Question
A client comes to the emergency department with status asthmaticus. His respiratory rate is 48
breaths/minute, and he is wheezing. An arterial blood gas analysis reveals a pH of 7.52, a partial pressure of
arterial carbon dioxide (PaCO2) of 30 mm Hg, PaO2 of 70 mm Hg, and bicarbonate (HCO3) of 26 mEq/L. What
disorder is indicated by these findings?

 Respiratory alkalosis

Question
A client experiencing a severe anxiety attack and hyperventilating presents to the emergency department. The
nurse would expect the client’s pH value to be

 7.50

Question
A client has been admitted to the hospital unit with signs and symptoms of hypovolemia; however, the client
has not lost weight. The client exhibits a localized enlargement of her abdomen. What condition could the
client be presenting?

 third-spacing

Question
A client has been diagnosed with an intestinal obstruction and has a nasogastric tube set to low continuous
suction. Which acid-base disturbance is this client at risk for developing?

 Metabolic alkalosis

Question

, A client has the following arterial blood gas (ABG) values: pH, 7.12; partial pressure of arterial carbon dioxid
(PaCO2), 40 mm Hg; and bicarbonate (HCO3–), 15 mEq/L. These ABG values suggest which disorder?

 Metabolic acidosis

Question
A client hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical
findings commonly accompany respiratory alkalosis?

 Light-headedness or paresthesia

Question
A client in the emergency department reports that he has been vomiting excessively for the past 2 days. His
arterial blood gas analysis shows a pH of 7.50, partial pressure of arterial carbon dioxide (PaCO2) of 43 mm H
partial pressure of arterial oxygen (PaO2) of 75 mm Hg, and bicarbonate (HCO3–) of 42 mEq/L. Based on these
findings, the nurse documents that the client is experiencing which type of acid-base imbalance?

 Metabolic alkalosis

Question
A client is being treated in the ICU 24 hours after having a radical neck dissection completed. The client’s
serum calcium concentration is 7.6 mg/dL (1.9 mmol/L). Which physical examination finding is consistent wi
this electrolyte imbalance?

 Presence of Trousseau sign

Question
A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Laboratory results reve
serum sodium level 130 mEq/L and urine specific gravity 1.030. Which nursing intervention helps prevent
complications associated with SIADH?

 Restricting fluids to 800 ml/day

Question
A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse informs the
client that the physician will order diuretic therapy and restrict fluid and sodium intake to treat the disorder
the client doesn't comply with the recommended treatment, which complication may arise?

 Cerebral edema



Question
A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should
anticipate which laboratory test result?

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