Answer the following questions: The nurse is assessing a patient who is currently taking 40mg PO furosemide (Lasix) daily. Which statement made by the patient should the nurse report to the hea
Answer the following questions:
The nurse is assessing a patient who is currently taking 40mg PO furosemide (Lasix) daily. Which statement made by the patient should the nurse report to the health care provider immediately?
a) “The swelling in my feet has improved”
B) “Sometimes I get a dry mouth”
c) “My legs have been weak and cramping”
d) “I have been urinating more frequently”
The nurse is taking a patient’s blood pressure manually. When the cuff is inflated, the nurse notes this assessment finding:
Which electrolyte imbalance could be the cause of this spasm?
Hypercalcemia
Hypokalemia
Hypocalcemia
Hypernatremia
The nurse is providing discharge teaching to a patient with a potassium dietary restriction. Which patient statement demonstrates an understanding of this restriction?
a) “Fruit is very high in potassium and I will need to avoid it.”
b) “If I cook the fruit before eating it, the total amount of both potassium and sodium in it will be reduced.”
c) “Some fruit is high in potassium, but berries, cherries, apples, and peaches are low in potassium and I can eat them.”
d) “Some vegetables, such as potatoes and avocados, can be substituted for fruit, so I can still enjoy the texture of raw food.”
A pregnant woman is started on IV magnesium sulfate for treatment of pre-eclampsia. The nurse notes the following rhythm in lead III:
Which lab value correlates with this EKG finding? SELECT ALL THAT APPLY
A) K+ of 6.3 mEq/L
B) K+ of 2.9 mEq/L
C) Ca++ 8.8 mg/dL
D) Mg++ 2.1 mg/dL
E) Mg+ 3.5 mg/dL
A patient is admitted with fluid volume excess and is receiving furosemide (Demadex) IV every 12 hours. Serum potassium levels are being monitored daily:
Day 1
Day 2
Day 3
Day 4
5.6 mEq/L
4.4 mEq/L
3.5 mEq/L
3.1 mEq/L
Which day is best for the nurse to consult with the provider regarding starting a potassium replacement?
A) Day 1
B) Day 2
C) Day 3
D) Day 4
The nurse is assigned 4 patients on a medical unit. Which client is at greatest risk for developing hyponatremia?
a) 35-year-old client is receiving D5W while awaiting abdominal surgery
b) 45-year-old client who is taking sulfonamide antibiotic for a UTI
c) 55-year old-client who is receiving IV ketorolac following a hip replacement
d) 65-year-old client who is taking digoxin for atrial fibrillation
A patient admitted to the medical unit is NPO and is receiving D5W intravenously. They are now confused to time and place. Which electrolyte imbalance could support this change in condition?
Hyperkalemia
Hyponatremia
Hypercalcemia
Hypernatremia
The nurse is completing a home visit for an elderly patient who developed hypernatremia. Which instruction should the nurse include in the plan of care?
a) “Weigh yourself every morning and every night.”
b) “Check your pulse and rhythm every morning and every night”
c) “Read the labels of all packaged foods to determine the sodium content.”
d) “When you prepare meals, try to bake or grill the food rather than frying it.”
The nurse is caring for a patient with a calcium level of 7.1 mg/dL. Which complaint indicates that the patient is experiencing a complication related to this lab value?
a) Prolonged bleeding when removing an IV
b) Development of DVT
c) Muscle pain and weakness
d) headaches and dizziness
A patient is admitted with a long history of alcohol abuse. Which lab values would the nurse anticipate? (SELECT ALL THAT APPLY).
a) Calcium 7.1 mg/dL
b) Albumin 4.0 mg/dL
c) Magnesium 3.2 1.0 mg/dL
d) BUN 33 mg/dL
e) Potassium 2.3 mEq/L
A patient is receiving 2g of Magnesium Sulfate IV to correct a serum magnesium level of 1.4 mEq/L. Which of the following assessments would alert the nurse to immediately stop the infusion?
a) Absent patellar reflex
b) Two episodes of diarrhea
c) Premature ventricular complexes on telemetry
d) Blood pressure increase from 120/60 to 135/80
The nurse is educating a patient with hypophosphatemia. Which statement by the patient indicates the need for further teaching?
a) “I will eat more eggs, fish, and meat and avoid dairy products.”
b) “I will use tylenol from pain instead of aspirin.”
c) “In the summer, I will drink more water.”
d) “If I have indigestion, I will take Tums.”
A patient has a low parathyroid level (PTH). What effect would this have on serum calcium and phosphate levels?
a) High phosphate and calcium levels
b) Low phosphate and calcium levels
c) High calcium and low phosphate levels
d) Low calcium and high phosphate levels
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