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Questions and Answers
Which hypotheses would the nurse consider when handed over a patient with an acid-base imbalance who has Kussmaul respirations and is reported to be hypotensive and dysrhythmic?
Which hypotheses would the nurse consider when handed over a patient with an acid-base imbalance who has Kussmaul respirations and is reported to be hypotensive and dysrhythmic?
- Impaired Gas Exchange
- Hyperventilation
- Excess acid production (correct)
- Excess serum bicarbonate
Which additional cues would the nurse expect when caring for a patient with Acute Confusion associated with respiratory alkalosis?
Which additional cues would the nurse expect when caring for a patient with Acute Confusion associated with respiratory alkalosis?
- Muscle cramping (correct)
- Restlessness (correct)
- Tachypnea (correct)
- Paresthesia
Match each hypothesis with the acid-base imbalance.
Match each hypothesis with the acid-base imbalance.
Impaired Gas Exchange = Respiratory acidosis Hyperventilation = Respiratory alkalosis Excess acid production = Metabolic acidosis Excess serum bicarbonate = Metabolic alkalosis
The nurse is caring for a patient with dyspnea and impaired gas exchange secondary to chest injury causing respiratory acidosis. Which evaluation would the nurse include in the plan of care to specifically monitor a goal of returning blood pressure to baseline or within normal limits (WNL) within 24 hours of admission?
The nurse is caring for a patient with dyspnea and impaired gas exchange secondary to chest injury causing respiratory acidosis. Which evaluation would the nurse include in the plan of care to specifically monitor a goal of returning blood pressure to baseline or within normal limits (WNL) within 24 hours of admission?
Which solutions are appropriate for a nurse to include in the plan of care for a diabetic patient with metabolic acidosis?
Which solutions are appropriate for a nurse to include in the plan of care for a diabetic patient with metabolic acidosis?
An older adult patient with a history of tobacco use reports fatigue, decreased energy, and difficulty breathing. The hypothesis includes Impaired Gas Exchange with respiratory acidosis. Which goal statement specific for fatigue would the nurse include in the plan of care?
An older adult patient with a history of tobacco use reports fatigue, decreased energy, and difficulty breathing. The hypothesis includes Impaired Gas Exchange with respiratory acidosis. Which goal statement specific for fatigue would the nurse include in the plan of care?
Which explanation would a nurse include in the response to a patient diagnosed with high blood pressure who asks, “Why do I have to monitor my salt intake?”
Which explanation would a nurse include in the response to a patient diagnosed with high blood pressure who asks, “Why do I have to monitor my salt intake?”
Which electrolyte supplement is most important for the nurse to include in a teaching session for a patient who is recovering from a broken bone?
Which electrolyte supplement is most important for the nurse to include in a teaching session for a patient who is recovering from a broken bone?
Which supplements would a nurse include when asked by patient with osteoporosis, “Is there anything I can take over-the-counter to manage my condition?”
Which supplements would a nurse include when asked by patient with osteoporosis, “Is there anything I can take over-the-counter to manage my condition?”
Which primary functions would the nurse include when teaching the patient about electrolytes within the body?
Which primary functions would the nurse include when teaching the patient about electrolytes within the body?
A patient has developed a clot in a coronary artery, and the heart muscle cells did not make enough adenosine triphosphate (ATP). Which explanation would the nurse give a nursing student about the effect of poor ATP supply on electrolyte movement?
A patient has developed a clot in a coronary artery, and the heart muscle cells did not make enough adenosine triphosphate (ATP). Which explanation would the nurse give a nursing student about the effect of poor ATP supply on electrolyte movement?
Which statement regarding electrolyte movement from one compartment to another would the nursing student include in a class presentation?
Which statement regarding electrolyte movement from one compartment to another would the nursing student include in a class presentation?
Which statements regarding the sodium-potassium pump are true?
Which statements regarding the sodium-potassium pump are true?
The nursing student is presenting information about the movement of electrolytes to fellow classmates. Which process would the nursing student describe as the movement of electrolytes across a membrane using a carrier?
The nursing student is presenting information about the movement of electrolytes to fellow classmates. Which process would the nursing student describe as the movement of electrolytes across a membrane using a carrier?
The nurse is educating a patient regarding the normal levels of potassium within the blood. Which response by the patient indicates a correct understanding of the information presented?
The nurse is educating a patient regarding the normal levels of potassium within the blood. Which response by the patient indicates a correct understanding of the information presented?
The nurse is providing care to a patient with decreased levels of serum potassium caused by excessive hormone action that shifts potassium into cells. Which hormone would the nurse expect to be elevated in the laboratory report?
The nurse is providing care to a patient with decreased levels of serum potassium caused by excessive hormone action that shifts potassium into cells. Which hormone would the nurse expect to be elevated in the laboratory report?
Which data would the nurse report to the primary health care provider as abnormal when monitoring serum electrolyte levels for a patient admitted with dehydration?
Which data would the nurse report to the primary health care provider as abnormal when monitoring serum electrolyte levels for a patient admitted with dehydration?
Which factors would a nurse assess for when admitting a patient with an alteration in total body water (TBW)?
Which factors would a nurse assess for when admitting a patient with an alteration in total body water (TBW)?
An intravascular fluid sample is to be collected from a patient. Based on the location of this type of fluid, the nurse would inform the patient that the sample will come from which source?
An intravascular fluid sample is to be collected from a patient. Based on the location of this type of fluid, the nurse would inform the patient that the sample will come from which source?
Which information regarding solutes would a nurse include when preparing a continuing education class on body fluid components?
Which information regarding solutes would a nurse include when preparing a continuing education class on body fluid components?
Which type of problem would a nurse expect when caring for a patient with a blood disease that has significantly reduced the number of red blood cells?
Which type of problem would a nurse expect when caring for a patient with a blood disease that has significantly reduced the number of red blood cells?
Which type of blood would a nurse anticipate transfusing to a patient who tests positive for Rhesus (Rh) factor and no ABO antigen in the blood?
Which type of blood would a nurse anticipate transfusing to a patient who tests positive for Rhesus (Rh) factor and no ABO antigen in the blood?
Which components of donated blood would a nurse at a community blood drive explain can be separated for individual use?
Which components of donated blood would a nurse at a community blood drive explain can be separated for individual use?
Which effect on oncotic pressure would a nurse expect when caring for a patient with a kidney disorder causing low levels of plasma protein?
Which effect on oncotic pressure would a nurse expect when caring for a patient with a kidney disorder causing low levels of plasma protein?
Which information would a student nurse include when explaining the process of filtration to another student?
Which information would a student nurse include when explaining the process of filtration to another student?
Which rationale would the nurse associate with thirst in a frail, confused older patient with dehydration secondary to severe vomiting who is continuously calling for water even though he is nauseated?
Which rationale would the nurse associate with thirst in a frail, confused older patient with dehydration secondary to severe vomiting who is continuously calling for water even though he is nauseated?
Which patient factors controlling hydrostatic pressure would a nurse consider when caring for a patient with heart disease?
Which patient factors controlling hydrostatic pressure would a nurse consider when caring for a patient with heart disease?
Which alteration in body water homeostasis would a nurse expect in a patient whose posterior pituitary gland no longer releases antidiuretic hormone (ADH)?
Which alteration in body water homeostasis would a nurse expect in a patient whose posterior pituitary gland no longer releases antidiuretic hormone (ADH)?
Which information regarding the renin-angiotensin-aldosterone system would be included by a student nurse making flashcards for an exam focusing on body fluid homeostasis?
Which information regarding the renin-angiotensin-aldosterone system would be included by a student nurse making flashcards for an exam focusing on body fluid homeostasis?
Which information would a nurse include when teaching about Rhesus (Rh) factor?
Which information would a nurse include when teaching about Rhesus (Rh) factor?
Which statements are important for a nurse to know about the filtration process?
Which statements are important for a nurse to know about the filtration process?
Which processes would a nurse include when teaching about the regulation of blood pressure and fluid balance by the renin-angiotensin-aldosterone system?
Which processes would a nurse include when teaching about the regulation of blood pressure and fluid balance by the renin-angiotensin-aldosterone system?
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