Fluid & Electrolyte Imbalances (NCLEX)
Exam 4 Questions and Answers Already
Passed
- A 56-year-old patient with chronic kidney disease presents with edema in the lower extremities.
The nurse notes a serum albumin level of 2.5 g/dL. Which of the following electrolyte
imbalances is most like...
Fluid & Electrolyte Imbalances (NCLEX)
Exam 4 Questions and Answers Already
Passed
- A 56-year-old patient with chronic kidney disease presents with edema in the lower extremities.
The nurse notes a serum albumin level of 2.5 g/dL. Which of the following electrolyte
imbalances is most likely contributing to this condition?
a) Hyperkalemia
b) Hypercalcemia
c) Hypoalbuminemia
d) Hyponatremia
✔✔ c) Hypoalbuminemia
- A patient who has been vomiting for 48 hours presents with a serum potassium level of 3.0
mEq/L. Which of the following symptoms should the nurse assess for next?
a) Hypertension
b) Tachycardia
c) Hypoventilation
d) Nausea and vomiting
✔✔ b) Tachycardia
1
,- A 75-year-old patient with severe dehydration is being treated with IV fluids. Which of the
following is the best indicator that the patient is responding to the treatment?
a) Increased urinary output
b) Decreased serum sodium levels
c) Increased serum potassium levels
d) Improved mental status
✔✔ a) Increased urinary output
- A patient is being treated for hyperkalemia with sodium bicarbonate. Which electrolyte
imbalance is the nurse most concerned about during this treatment?
a) Hyponatremia
b) Hypokalemia
c) Hypercalcemia
d) Hypocalcemia
✔✔ b) Hypokalemia
- A nurse is caring for a patient with a history of excessive alcohol use and a low magnesium
level. What would be the most appropriate nursing intervention?
2
, a) Administer magnesium sulfate
b) Restrict fluid intake
c) Encourage potassium-rich foods
d) Administer calcium gluconate
✔✔ a) Administer magnesium sulfate
- A patient with chronic respiratory acidosis due to emphysema is at risk for developing which of
the following electrolyte imbalances?
a) Hyperkalemia
b) Hypokalemia
c) Hypercalcemia
d) Hypocalcemia
✔✔ a) Hyperkalemia
- A 60-year-old patient with heart failure is on diuretics and has a potassium level of 2.5 mEq/L.
The nurse should be most concerned about which of the following findings?
a) Bradycardia
b) Hyperreflexia
c) Increased urine output
3
, d) Hypovolemia
✔✔ a) Bradycardia
- A nurse is caring for a patient with low serum sodium and hypervolemia. Which intervention
should the nurse anticipate?
a) Administer a hypertonic saline solution
b) Restrict fluids and administer diuretics
c) Administer a potassium-sparing diuretic
d) Monitor respiratory rate
✔✔ b) Restrict fluids and administer diuretics
- A patient presents with a calcium level of 7.5 mg/dL, and the nurse suspects hypocalcemia.
What is the most common clinical manifestation of this electrolyte imbalance?
a) Positive Chvostek’s sign
b) Muscle weakness
c) Tetany and spasms
d) Decreased heart rate
✔✔ a) Positive Chvostek’s sign
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BrilliantScores. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
