book & evolve funds 26

A patient who was admitted after vomiting for 3 days would show an abnormally low blood pressure because of a fluid sift from:

• intracellular to extracellular

• interstitial to intravascular

• intravascular to interstitial

• interstitial to intracellular

intravascular to interstitial

The nurse is aware that an infant is more at risk for dehydration because the infant

has a larger body surface compared to the body weight

The nurse assesses that the patient has developed abdominal pain, urinary retention, and confusion. The nurse concludes these are sides of inadequate supply of

• calcium

• sodium

• phosphates

• potassium

potassium

The nurse explains that the dehydrated patient’s urine is concentrated because:

• renal tubles reabsorb more water and reduce urine output

• kidneys cease to function

• bp drops

• the colon retains more fluid from the fecal waste

renal tubles reabsorb more water and reduce urine output

The kidney’s pH stabilizes in?

3 days

A patient with a severe history of COPD is most likely to have?

respiratory acidosis

bc of the retained co2

A patient who is experiencing severe diarrhea is losing excessive bicarbonate ions. This patient is at risk for developing?

metabolic acidosis

An anxious adult patient is experiencing a respiratory rate f 40 breaths per minute. The most appropriate intervention would have the patient

• sit up

• lie down

• breathe through a re-breather

• pant with mouth open

breathe through a re-breather

to inhake co2

A pt with het failure has gained 1.1lb in the last 24 hours. The nurse is aware that this weight gain represents fluid retention of

0.5L

1.1lb = 0.5 kg .. so 0.5 L of fluid

The nurse is aware that the patient who suffered a brain injury with cerebral edema will most likely receive a fluid that is?

hypertonic

The pt is prescribed a diuretic for fluid volume excess and is discharged home. The pt verbalizes understanding of his disease process when he says?

“I will snack on raisins”

Raisins and apricots ae rich in K

The nurse is caring for a pt for whom a dose of IV K is ordered. Prior to hanging the K, the nurse should?

confirm the IV fluid running is compatible with K

urine output should be at least 30mL an hour

The nurse caring for a frail 92 year old dehydrated pt should add to the plan of care?

potential for fall related to confusion

The nurse assessing a newly admitted pt with marked edema from severe heart failure would anticipate the pt would exhibit?

• a thready pulse

• concentrated urine

• hypertension

• weight gain

• crackles heard on auscultation

• hypertension

• weight gain

• crackles heard on ausculatation