The nurse is caring for the child with hydronephrosis. Which assessment should the nurse perform to obtain the most accurate determination of fluid balance?

The client is hospitalized with a history of chronic emesis from purging. Based on the client’s history, the nurse should monitor for which complication?

The nurse is caring for the client with hypotension. Which electrolytes should be closely monitored by the nurse?

The nurse determines that the client with heart failure is at risk for excess fluid volume. Which physiological change resulting from heart failure supports the risk for excess fluid volume?

The nurse is caring for the client who has an NG tube that is attached to intermittent suction. The nurse should monitor for which most important electrolyte imbalances?

The adult client has a reddened sore throat with white patches that feels like “razor blades when swallowing.” A rapid strep test is negative. Which statement should the nurse make when instructing the client to gargle with saltwater?

After a tonsillectomy, the child has impaired swallowing related to inflammation and pain. Which fluids should the nurse plan to administer?

A 1 -day-old infant exhibits jitteriness, apnea, cyanotic episodes, abdominal distention, and a high- pitched cry. The mother is diabetic. Which electrolyte imbalance pertaining to the infant should the nurse further explore?

The nurse is teaching the client with hypoparathyroidism. Which recommendation should the nurse make knowing that the client is of the Orthodox Jewish faith?

The nurse is caring for the client who is 1-day postthyroidectomy. Which assessment findings should prompt the nurse to check the client’s serum calcium level?

The client with ESRD has 2+ pitting edema, and a total serum protein is 5.8 g/dL. The client is 6 feet tall and weighs 180 lb. The nurse concludes that this client’s edema likely resulted from which physiological process?

The emaciated client is admitted with a total serum protein level of 4 g/dL. When assessing the client, the nurse should especially check for which alteration due to the low serum protein level?

The hospitalized client has a serum magnesium level of 0.9 mg/dL. Which intervention is the nurse’s priority?

The nurse is assessing the 10-year-old client with ARF. Which electrolyte imbalance should be the priority concern for the nurse?

The client admitted to the ED has a serum potassium level of 3.0 mEq/L. The nurse should assess for which finding?

The nurse reviews the serum laboratory results of four clients. Based on the findings, which client should the nurse assess first?

The child is prescribed oral rehydration therapy to treat dehydration from vomiting and diarrhea. Which intervention should the nurse implement?

The daughter of the 82—year-old client with Alzheimer’s disease contacts a clinic because her father has been unwilling to drink any fluids for over 24 hours. Which statement by the nurse is most appropriate?

The child has an asthma attack and is treated with epinephrine while in the ED. Despite receiving epinephrine, the child is still agitated, sweating profusely, and has an oxygen saturation of 89% and a R of 30 bpm. Breath sounds are diminished, and wheezing is absent. Based on this information, the nurse should anticipate interventions to treat which acid-base imbalance?

The nurse is caring for the 90-year-old client with hypernatremia. Which assessment findings should prompt the nurse to conclude that interventions have been ineffective?

The client being admitted to the ED reports feeling weak and having “almost passed out.” The client was gardening in an outside temperature of 100°F (413°C). Assessment findings reveal poor skin turgor, dry and dull mucous membranes, HR 120 bpm, and BP 92/54 mm Hg. Which problem should the nurse identify as the priority?

The client with DKA has a blood sugar of 320 mg/dL, a respiratory rate of 32 breaths/min, and a deep, regular respiratory effort. The nurse should implement interventions for which acid-base imbalance?

The nurse is caring for the comatose client receiving IV fluids at the amount that equals urine output. The client is losing weight. Which should be the nurse’s reasoning for the client’s weight loss?

The client has arterial blood results of pH 7.50, Paco2 35 mm Hg, and HCO3 30 mmol/L. Which musing interpretation of the client’s acid-base imbalance is correct?

The client is hyponatremic as a result of fluid volume overload. A fluid restriction of 800 mL/24 hours is prescribed. Which action by the nurse is most appropriate?