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Fluid/Electrolyte NUR 213
Terms in this set (33)
A nurse is admitting a client who has status asthmaticus. The client's ABG results are pH 7.32, PaO2 74mmHg, PaCO2 56mmHg, and HCO3- 26 mEq/L. The nurse should interpret these laboratory values as which of the following imbalances?
0.9% sodium chloride with 10mEq/L of potassium chloride at 100mL/hr
A nurse is admitting a client who takes 40mg furosemide daily for heart failure and has experienced 3 days of vomiting. The nurses suspects hypokalemia. Which of the following medications should the nurse prepare to administer?
Slow peripheral pulses
A nurse is assessing a client who has a phosphorus level of 2.4mg/dL. Which of the following findings should the nurse expect?
Restrict coffee intake 2 to 3 days prior to the test-- patients should avoid coffee, tea (even if they are decaffeinated), bananas, chocolate, and vanilla
To screen a client for pheochromocytoma, a nurse schedules a vanillylmandelic acid test. When teaching the client about this test, which of the following instructions should the nurse include?
I will call my doctor if my blood sugar is more than 250mg/dL-- during illness patient needs to call >250mg/dL glucose reading
A nurse is teaching a client who has type 1 diabetes mellitus about how to prevent complications during illness. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
Blood glucose levels above 300mg/dL-- levels above 600mg/dL are an expected finding with hyperglycemic-hyperosmolar state
A nurse is teaching a client who has diabetes mellitus. Which of the following should the nurse include as an expected finding of diabetic ketoacidosis (DKA)?
Draw up the insulins into separate syringes-- insulin glargine isn't compatible with other insulins
A nurse is teaching a client who has diabetes mellitus about insulin injections. The client's prescription includes evening doses of insulin glargine and regular insulin. Which of the following instructions should the nurse include?
Osteoporosis-- due to the suppression of bone formation and acceleration of bone resorption
Moon-shaped face-- can cause characteristics of iatrogenic Cushing's syndrome, also can include a potbelly, and buffalo hump
Increased risk of infection-- suppresses the immune system
A nurse is teaching a client who has an autoimmune disease about the adverse effects of long-term corticosteroid therapy. Which of the following effects should the nurse include? (select all that apply)
Addison's disease-- this test measures the cortisol response to ACTH, the response is absent or decreased in clients who have primary adrenal insufficiency
A nurse is teaching a client about the adrenocorticotropic hormone (ACTH) stimulation test. The nurse should explain that the purpose of the test is to assess for which of the following disorders?
This test result is a good indicator of my average blood glucose levels-- average over the last 90 days (ATI says 120 days)
A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing. Which of the following statements should the nurse identify as an indication that the client understands the information about this test?
pH 7.32, PaCO2 36mmHg, HCO3 14mEq-- metabolic acidosis
A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis (DKA). Which of the following results should the nurse expect?
Blow your nose gently prior to using the nasal spray-- this prevents dilution of the medication with nasal secretions
A nurse is providing discharge teaching for a client who has diabetes insipidus and has a new prescription for desmopressin nasal spray. Which of the following instructions should the nurse include in the teaching?
Report nocturia because it requires a dosage adjustment-- the dose will be adjusted until the patient no longer has nocturia
A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires intranasal desmopressin. Which of the following information should the nurse include in the teaching plan?
Ingest alcohol with food to reduce alcohol-induced hypoglycemia-- alcohol inhibits the liver from producing glucose, eating carbs while drinking helps prevent hypoglycemia
A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse include?
Fasting blood glucose 96mg/dL-- this is within an expected range for fasting blood sugar
A nurse is monitoring the laboratory values of a client who has diabetes mellitus and is taking insulin. Which of the following results indicates a therapeutic outcome of insulin therapy?
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