NURS100/lNURSl100lAssessmentl5l(Latestl
Update)lFundamentalsloflNursing|lQsl&lAs|l
100%lCorrect|lGradelA-lWCU
Q:lAlnurselreceiveslallaboratorylreportlforlalclientlindicatinglalpotassiumllevellofl5.2lmEq/dL
.lWhenlnotifyinglthelprovider,lthelnurselshouldlexpectlwhichloflthelfollowinglactions?
A.lStartinglanlIVlinfusionlofl0.9%lsodiumlchloride
B.lConsultinglwithldieticianltolincreaselintakeloflpotassium
C.lInitiatinglcontinuouslcardiaclmonitoring
D.lPreparinglthelclientlforlgastricllavage
Answer:
lC.lInitiatinglcontinuouslcardiaclmoni-ltoring
Q:lAlnurselislcollectingldatalfromlalclientlwholhaslhypercalcemialaslalresultlofllong-
termluseloflglucocorticoids.lWhichloflthelfollowinglfindingslshouldlthelnurselexpect?l(Selectlal
llthatlapply)
l
A.lHyperreflexia
B.lconfusion
C.lPositivelChvostek'slsign
D.lBonelpain
E.lNausealandlvomiting
Answer:
lB.lconfusion
D.lBonelpain
E.lNausealandlvomiting
Q:lWhatlarelthelsymptomsloflhypervolemia?
Answer:
lBoundinglpulse,lpittingledema,lcrackleslinllungs,lweightlgain,ldecreasedlurinelSG
,Q:lWhatlarelthelsymptomsloflhypovolemia?
Answer:
lweaklpulse,lhypotension,lpoorlskinlturgor,lflatlnecklveins,ltachycardia,lweightlloss,lincreasedlu
rinelSG
Q:lWhatlcanlcauselhypovolemia?
Answer:
lbloodlloss,lGIlloss,lseverelburns,lthirdlspac-ling,lexcessivelsweating,lurination
Q:lwhatlcanlcauselhypervolemia?
Answer:
lheartlfailure,lkidneylfailure,lcirrhosis,lpreg-lnancy,ltoolmuchlIVlfluid,lwaterlretention
Q:lAlnurselislprovidingleducationlforlalclientlwholhaslseverelhypomag-
lnesemialandlislprescribedlorallmagnesiumlsulfate.lWhichloflthelfollowinglinformationlshouldlt
helnurselincludelinlthelteaching?
A.l"avoidlgreen,lleafylvegetableslwhileltakinglthislmedication"
B.l"youlshouldlreceivelalprescriptionlforlalthiazideldiureticltoltakelwithlthelmagnesium"
C.l"youlshouldleliminatelwholelgrainslfromlyourldietluntillyourlmagnesiumllevellincreases"
D.l"reportldiarrhealwhileltakinglthislmedication"
Answer:
lD.l"reportldiarrhealwhileltakinglthislmedication"
Q:lWhatlarelthelsymptomsloflhypernatremia?
Answer:
lconfusion,lirritability,llethargy,lstupor,lcoma,lmuscleltwitching,lseizure
,Q:lWhatlarelthelsymptomsloflhyponatremia?
Answer:
lconfusion,lirritability,llethargy,lstupor,lcoma,lmuscleltwitching,lseizure
Q:llllllllllfluidlexpandslthelvolumeloflextracellularlfluid;lnolmovementlbetweenlintralandlextr
acellularlfluids
Answer:
lisotonic
Q:lWhatlislanlexampleloflisotoniclfluid?
Answer:
lNormallsalinel(0.9%lsodiumlchloride),llactatedlringers,ldextrosel5%linlwater
Q:llllllllllllfluidlcauseslalshiftloflfluidlintolcells
Answer:
lHypotonic
Q:lWhatlarelexamplesloflhypotoniclfluid?
Answer:
l0.45%lsodiumlchloridel(halflNS),l0.33
%lSodiumlchloride,l0.225%lsodiumlchloride
Q:llllllllllllllfluidlcauseslalshiftloflfluidloutloflcells
, Answer:
lHypertonic
l
Q:lWhatlislanlexampleloflhypotoniclfluid?
Answer:
l3%lsodiumlchloride
Q:lWhatlarelthelsymptomsloflhypokalemia?
Answer:
lmusclelweakness,ldysrhythmias,lparalyticlileus,lmusclelbreakdown,lfatigue,lshallowlrespiration
s
Q:ldiarrhea,lvomiting,lNGltubelsuction,lfurosemidel(lasix),lkidneyldisease,landlalcoholismlca
nlcauselllllllllll
Answer:
lhypokalemia
Q:lWhatlarelthelsymptomsloflhyperkalemia?
Answer:
lmusclelweakness,ldysrhythmias,lcardiaclarrest,lPeakedlTlwave,lflatlPlwave,lwidelQRS
Q:lRenallfailure,ldehydrations,ldiabetes,lburns,lbloodltransfusion,lsepsis,lNSAIDS,lorltoolmuc
hlpotassiumlintakelcanlcausellllllllllll
Answer:
lhyperkalemia
