Fluids 1

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Quizzes Created: 11 | Total Attempts: 97,689

Questions: 41 | Attempts: 700 | Updated: Mar 21, 2023

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Mar 21, 2023

Quiz Edited by
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Mar 08, 2012

Quiz Created by
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Fluids 1

1. You are caring for a patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. Your patient has specific gravities ordered every 4 hours. What does this test detect?

2. You are caring for a patient admitted with a diagnosis of renal failure. When you review your patient's laboratory reports, you note that the patient's magnesium levels are high. What would be important for you to assess?

3. You are working on a burn unit. One of your patients is exhibiting signs and symptoms of third spacing, which occurs when fluid moves out of the intravascular space but not into the intracellular space. Based upon this fluid shift, what would you expect the patient to demonstrate?

4. A patient with anxiety presents to the emergency room. The triage nurse notes upon assessment that the patient is hyperventilating. The triage nurse is aware that hyperventilation is the most common cause of which acid-base imbalance?

5. You are an emergency-room nurse caring for a trauma patient. Your patient has the following arterial blood gas results: pH 7.26, PaCO₂ 28, HCO₃ 11 mEq/L. How would you interpret these results?

6. You are making initial shift assessments on your patients. While assessing one patient's peripheral IV site, you note edema around the insertion site. How will you document this complication related to IV therapy?

7. You are doing an admission assessment on an elderly patient newly admitted for end-stage liver disease. You must assess the patient's skin turgor. What should you remember when evaluating skin turgor?

8. The physician has ordered a peripheral IV to be inserted before the patient goes to the operating room. What should the nurse do when selecting a site on the hand or arm for insertion of an IV catheter?

11. The nursing instructor is discussing renal failure with her senior nursing class. The instructor states, “A patient in renal failure partially loses the ability to regulate changes in pH.” What is the cause of this partial inability?

13. Nursing students are learning the skill of starting a peripheral IV in the skills lab setting. After gathering all the supplies, the nurse would begin to prepare the site. How should the nurse always start?

14. A patient in the ICU starts complaining of being “short of breath.” An arterial blood gas (ABG) is drawn. The ABG has the following values: pH = 7.21, PaCO₂ = 64 mm Hg, HCO₃ = 24 mm Hg. What does the ABG reflect?

15. While admitting a new patient to your medical-surgical unit, you note that the patient is oliguric. You notify the the acute-care nurse practitioner who orders a fluid challenge of 100 to 200 mL of normal saline solution over 15 minutes. What do you know this intervention will do?

18. The student nurses are in the skills lab learning the technique for the insertion of an IV catheter. How should these students be taught to treat excess hair at the intended site?

19. You are the nurse evaluating a new patient's laboratory results. Based upon the laboratory findings, what will cause the release of antidiuretic hormone (ADH)?

21. When oxygen and carbon dioxide are exchanged between the pulmonary capillaries and the alveoli, which process is used?

22. In the human body, water and electrolytes move from the arterial capillary bed to the interstitial fluid. What causes this to occur?

23. The baroreceptors, located in the left atrium, and the carotid and aortic arches respond to changes in the circulating blood volume and regulate sympathetic and parasympathetic neural activity as well as endocrine activities. Sympathetic stimulation constricts renal arterioles, causing what?

24. You are the nurse caring for a 77-year-old male who fell off his roof. You note that the patient's labs indicate minimally elevated serum creatinine levels. What can this indicate in older adults?

You are the nurse caring for a patient who is to receive IV daunorubicin. You start the infusion and check the insertion site as per protocol. This time when you look at the IV site, you note that the IV has infiltrated. You stop the infusion. What is your main concern with this infiltration?

28. You are caring for a patient on the oncology floor with a diagnosis of metastatic brain cancer. During your assessment, you note the patient complains of abdominal pain. Skin turgor indicates dehydration is present. What would you further assess for in this patient?

29. As the ICU nurse caring for a patient with multiple traumas from an ATV accident, you draw arterial blood gasses (ABGs) every 4 hours. What are you assessing in this patient with the ABGs?

30. The nursing instructor is discussing metabolic acidosis with her senior nursing students. What would she tell her students about the role of the kidneys in metabolic acidosis?

31. The nurse in the medical ICU is caring for a patient who is in respiratory acidosis due to inadequate ventilation. What diagnosis could the patient have that could cause inadequate ventilation?

32. You are an ICU nurse caring for a trauma patient. The patient is complaining of having trouble breathing with abdominal pain. An ABG reveals the following results: pH 7.28, PaCO₂ 50 mm Hg, HCO₃^- 23 mEq/L. What would you know is happening with this patient?

33. Isotonic IV fluids are fluids with a total osmolality close to that of the ECF. Most IV fluids contain either dextrose or electrolytes in water. When would you infuse electrolyte-free water intravenously?

34. Dehydration in the elderly is a problem that is all too common. What causes dehydration in the elderly? (Mark all that apply.)

35. You are called to your patient's room by a family member who voices concern about the patient's status. On assessment, you find the patient tachypnic, lethargic, weak, and exhibiting a diminished cognitive ability. You also find 3+ pitting edema. What electrolyte imbalance would you suspect?

36. Metabolic acidosis can be divided clinically into two forms: normal anion gap acidosis and high anion gap acidosis. What causes normal anion gap acidosis?

37. The nurse is caring for a patient in metabolic alkalosis. The patient has a nasogastric tube to low intermittent suction for a diagnosis of bowel obstruction. What drug would the nurse expect to find on the medication orders?

38. You are caring for a patient with a diagnosis of pancreatitis. The patient was admitted from a homeless shelter and is a poor historian. The patient appears malnourished and TPN has been started. Why would you know to start the TPN slowly?

39. You are doing discharge teaching with a patient who is going home with a diagnosis of hypophosphatemia. The patient has a diet ordered that is high in phosphate. What foods would you teach this patient to include in his diet? (Mark all that apply.)

40. You are caring for a patient with a secondary diagnosis of hypermagnesemia. What would you assess this patient for?

41. A patient's lab results show a slight decrease in potassium. The physician has declined to treat with drug therapy but has suggested increasing potassium through diet. Which of the following would be a good source of potassium?

42. The nurse is assessing the patient for the presence of a Chvostek's sign. What electrolyte imbalance does a positive Chvostek's sign indicate?

Fluids 1

1. You are caring for a patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. Your patient has specific gravities ordered every 4 hours. What does this test detect?

2. You are caring for a patient admitted with a diagnosis of renal failure. When you review your patient's laboratory reports, you note that the patient's magnesium levels are high. What would be important for you to assess?

3. You are working on a burn unit. One of your patients is exhibiting signs and symptoms of third spacing, which occurs when fluid moves out of the intravascular space but not into the intracellular space. Based upon this fluid shift, what would you expect the patient to demonstrate?

4. A patient with anxiety presents to the emergency room. The triage nurse notes upon assessment that the patient is hyperventilating. The triage nurse is aware that hyperventilation is the most common cause of which acid-base imbalance?

5. You are an emergency-room nurse caring for a trauma patient. Your patient has the following arterial blood gas results: pH 7.26, PaCO2 28, HCO3 11 mEq/L. How would you interpret these results?

6. You are making initial shift assessments on your patients. While assessing one patient's peripheral IV site, you note edema around the insertion site. How will you document this complication related to IV therapy?

7. You are doing an admission assessment on an elderly patient newly admitted for end-stage liver disease. You must assess the patient's skin turgor. What should you remember when evaluating skin turgor?

8. The physician has ordered a peripheral IV to be inserted before the patient goes to the operating room. What should the nurse do when selecting a site on the hand or arm for insertion of an IV catheter?

11. The nursing instructor is discussing renal failure with her senior nursing class. The instructor states, “A patient in renal failure partially loses the ability to regulate changes in pH.” What is the cause of this partial inability?

13. Nursing students are learning the skill of starting a peripheral IV in the skills lab setting. After gathering all the supplies, the nurse would begin to prepare the site. How should the nurse always start?

14. A patient in the ICU starts complaining of being “short of breath.” An arterial blood gas (ABG) is drawn. The ABG has the following values: pH = 7.21, PaCO2 = 64 mm Hg, HCO3 = 24 mm Hg. What does the ABG reflect?

15. While admitting a new patient to your medical-surgical unit, you note that the patient is oliguric. You notify the the acute-care nurse practitioner who orders a fluid challenge of 100 to 200 mL of normal saline solution over 15 minutes. What do you know this intervention will do?

18. The student nurses are in the skills lab learning the technique for the insertion of an IV catheter. How should these students be taught to treat excess hair at the intended site?

19. You are the nurse evaluating a new patient's laboratory results. Based upon the laboratory findings, what will cause the release of antidiuretic hormone (ADH)?

21. When oxygen and carbon dioxide are exchanged between the pulmonary capillaries and the alveoli, which process is used?

22. In the human body, water and electrolytes move from the arterial capillary bed to the interstitial fluid. What causes this to occur?

23. The baroreceptors, located in the left atrium, and the carotid and aortic arches respond to changes in the circulating blood volume and regulate sympathetic and parasympathetic neural activity as well as endocrine activities. Sympathetic stimulation constricts renal arterioles, causing what?

24. You are the nurse caring for a 77-year-old male who fell off his roof. You note that the patient's labs indicate minimally elevated serum creatinine levels. What can this indicate in older adults?

You are the nurse caring for a patient who is to receive IV daunorubicin. You start the infusion and check the insertion site as per protocol. This time when you look at the IV site, you note that the IV has infiltrated. You stop the infusion. What is your main concern with this infiltration?

28. You are caring for a patient on the oncology floor with a diagnosis of metastatic brain cancer. During your assessment, you note the patient complains of abdominal pain. Skin turgor indicates dehydration is present. What would you further assess for in this patient?

29. As the ICU nurse caring for a patient with multiple traumas from an ATV accident, you draw arterial blood gasses (ABGs) every 4 hours. What are you assessing in this patient with the ABGs?

30. The nursing instructor is discussing metabolic acidosis with her senior nursing students. What would she tell her students about the role of the kidneys in metabolic acidosis?

31. The nurse in the medical ICU is caring for a patient who is in respiratory acidosis due to inadequate ventilation. What diagnosis could the patient have that could cause inadequate ventilation?

32. You are an ICU nurse caring for a trauma patient. The patient is complaining of having trouble breathing with abdominal pain. An ABG reveals the following results: pH 7.28, PaCO2 50 mm Hg, HCO3- 23 mEq/L. What would you know is happening with this patient?

33. Isotonic IV fluids are fluids with a total osmolality close to that of the ECF. Most IV fluids contain either dextrose or electrolytes in water. When would you infuse electrolyte-free water intravenously?

34. Dehydration in the elderly is a problem that is all too common. What causes dehydration in the elderly? (Mark all that apply.)

35. You are called to your patient's room by a family member who voices concern about the patient's status. On assessment, you find the patient tachypnic, lethargic, weak, and exhibiting a diminished cognitive ability. You also find 3+ pitting edema. What electrolyte imbalance would you suspect?

36. Metabolic acidosis can be divided clinically into two forms: normal anion gap acidosis and high anion gap acidosis. What causes normal anion gap acidosis?

37. The nurse is caring for a patient in metabolic alkalosis. The patient has a nasogastric tube to low intermittent suction for a diagnosis of bowel obstruction. What drug would the nurse expect to find on the medication orders?

38. You are caring for a patient with a diagnosis of pancreatitis. The patient was admitted from a homeless shelter and is a poor historian. The patient appears malnourished and TPN has been started. Why would you know to start the TPN slowly?

39. You are doing discharge teaching with a patient who is going home with a diagnosis of hypophosphatemia. The patient has a diet ordered that is high in phosphate. What foods would you teach this patient to include in his diet? (Mark all that apply.)

40. You are caring for a patient with a secondary diagnosis of hypermagnesemia. What would you assess this patient for?

41. A patient's lab results show a slight decrease in potassium. The physician has declined to treat with drug therapy but has suggested increasing potassium through diet. Which of the following would be a good source of potassium?

42. The nurse is assessing the patient for the presence of a Chvostek's sign. What electrolyte imbalance does a positive Chvostek's sign indicate?

5. You are an emergency-room nurse caring for a trauma patient. Your patient has the following arterial blood gas results: pH 7.26, PaCO₂ 28, HCO₃ 11 mEq/L. How would you interpret these results?

14. A patient in the ICU starts complaining of being “short of breath.” An arterial blood gas (ABG) is drawn. The ABG has the following values: pH = 7.21, PaCO₂ = 64 mm Hg, HCO₃ = 24 mm Hg. What does the ABG reflect?

32. You are an ICU nurse caring for a trauma patient. The patient is complaining of having trouble breathing with abdominal pain. An ABG reveals the following results: pH 7.28, PaCO₂ 50 mm Hg, HCO₃^- 23 mEq/L. What would you know is happening with this patient?