Podcast
Questions and Answers
A 65-year-old patient presents to the emergency department with complaints of fatigue, dizziness, and weakness. Upon assessment, the nurse notes poor skin turgor, dry mucous membranes, and orthostatic hypotension. Which of the following treatments would be prioritized for this patient?
A 65-year-old patient presents to the emergency department with complaints of fatigue, dizziness, and weakness. Upon assessment, the nurse notes poor skin turgor, dry mucous membranes, and orthostatic hypotension. Which of the following treatments would be prioritized for this patient?
- Administer diuretics to reduce extracellular fluid.
- Restrict fluid intake to prevent fluid overload.
- Administer isotonic IV fluids to restore fluid balance. (correct)
- Begin a high-sodium diet to encourage fluid retention.
A nurse is caring for a patient with a diagnosis of hypervolemia. Which of the following findings would the nurse expect during the assessment?
A nurse is caring for a patient with a diagnosis of hypervolemia. Which of the following findings would the nurse expect during the assessment?
- Dry, cracked mucous membranes
- . Increased urine output with a specific gravity of 1.030
- Bounding pulse, jugular venous distention, and crackles in the lungs (correct)
- Postural hypotension with a weak pulse
A patient with a history of heart failure presents with symptoms of peripheral edema and pulmonary crackles. Which nursing intervention would best address the patient’s symptoms of fluid volume excess?
A patient with a history of heart failure presents with symptoms of peripheral edema and pulmonary crackles. Which nursing intervention would best address the patient’s symptoms of fluid volume excess?
- Encourage increased fluid intake.
- Restrict dietary sodium and administer diuretics as ordered. (correct)
- Administer isotonic IV fluids to flush out excess sodium.
- Place the patient in a supine position to promote circulation.
A patient is at risk for hypovolemic shock due to fluid loss from severe diarrhea. Which clinical finding should the nurse monitor closely to assess the progression toward hypovolemic shock?
A patient is at risk for hypovolemic shock due to fluid loss from severe diarrhea. Which clinical finding should the nurse monitor closely to assess the progression toward hypovolemic shock?
A nurse is educating a patient with hypovolemia about safety and self-care after discharge. Which statement by the patient indicates a need for further teaching?
A nurse is educating a patient with hypovolemia about safety and self-care after discharge. Which statement by the patient indicates a need for further teaching?
A patient is admitted with hypernatremia and dehydration. Which intervention is the priority?
A patient is admitted with hypernatremia and dehydration. Which intervention is the priority?
A patient with hyponatremia presents with confusion and lethargy. What is the most appropriate diagnostic test to evaluate the severity?
A patient with hyponatremia presents with confusion and lethargy. What is the most appropriate diagnostic test to evaluate the severity?
A patient has a potassium level of 6.8 mEq/L. What ECG change is most indicative of hyperkalemia?
A patient has a potassium level of 6.8 mEq/L. What ECG change is most indicative of hyperkalemia?
A nurse is preparing to administer potassium chloride IV to a patient with a potassium level of 2.8 mEq/L. Which precaution is essential?
A nurse is preparing to administer potassium chloride IV to a patient with a potassium level of 2.8 mEq/L. Which precaution is essential?
A patient with hypercalcemia reports muscle weakness and lethargy. What additional symptoms should the nurse assess?
A patient with hypercalcemia reports muscle weakness and lethargy. What additional symptoms should the nurse assess?
Which finding indicates hypocalcemia?
Which finding indicates hypocalcemia?
A malnourished patient is diagnosed with hypophosphatemia. What is the best dietary recommendation?
A malnourished patient is diagnosed with hypophosphatemia. What is the best dietary recommendation?
A patient with chronic kidney disease and hypermagnesemia develops lethargy and diminished reflexes. What is the first intervention?
A patient with chronic kidney disease and hypermagnesemia develops lethargy and diminished reflexes. What is the first intervention?
A patient with hypomagnesemia is unresponsive to potassium replacement therapy. What is the likely cause?
A patient with hypomagnesemia is unresponsive to potassium replacement therapy. What is the likely cause?
A patient with hypernatremia due to diabetes insipidus is receiving IV fluids. Which type is most appropriate?
A patient with hypernatremia due to diabetes insipidus is receiving IV fluids. Which type is most appropriate?
Flashcards
Dehydrated patient treatment
Dehydrated patient treatment
Administer isotonic IV fluids to restore fluid balance in a patient with symptoms such as fatigue, dizziness, weakness, poor skin turgor, dry mucous membranes, and orthostatic hypotension.
