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Homework answers / question archive / Utica College NUR 321 1)A nurse is reviewing the results of a patients electrolyte panel

Utica College NUR 321 1)A nurse is reviewing the results of a patients electrolyte panel

Nursing

Utica College

NUR 321

1)A nurse is reviewing the results of a patients electrolyte panel. The documentation indicates the patient's potassium level is 5.2 mEq/L, a level that is indicative of:

  1. hypopotassium.
  2. hyperkalemia.
  3. hypernatremia.
  4. hypercalcemia.

 

Indicate whether the following statement is true or false.

 

  1. When the nurse is providing fluid maintenance to an adult, the use of a peripheral 18-gauge cannula is appropriate.

 

 

  1. Which of the following patient populations are at an increased risk for developing fluid, electrolyte, and acid-base imbalances?

 

  1. Older adults

 

 

  1. Infants
  2. Males
  3. Patients with burn injuries
  4. Patients using oral contraceptives

 

 

 

  1. Identify three factors in Piya Jordan's Nursing Admission data that indicate a risk for fluid and electrolyte imbalances even before surgery.
    1. Vomiting according to chart records
    2. Excessive diuretic intake of tea and water
    3. Soft “ribbony” stools. Blood noted in stool

 

  1. Consider the data you received from the change-of-shift report. From the following list, identify the risks Piya Jordan has for fluid and electrolyte imbalance during the postoperative period.

 

  1. Taking digoxin at home
  2. Nasogastric (NG) tube draining a moderate amount of brown fluid
  3. IV infusion of D5NS with 20 mEq KCl
  4. Receiving meperidine via patient-controlled analgesia (PCA)
  5. Nothing by mouth (NPO) status
  6. Telemetry shows atrial fibrillation

 

Click on Laboratory Reports and review findings.

 

  1. Using the chart below, record Piya Jordan's chemistry results. In the last column, indicate whether values demonstrate an abnormal or normal trend.

 

Lab Value

Mon 2200

Tues 0630

Wed 0630

Is Trend Normal or

Abnormal?

Sodium (Na)

 

 

 

 

 

 

 

Potassium (K+)

Chloride (Cl)

Carbon dioxide (CO2)

Blood urea nitrogen (BUN)

 

  1. The condition indicated by Piya Jordan's potassium levels is known as

 

  1. Clinical manifestations of the condition identified in the preceding question would include which of the following?

 

  1. Confusion
  2. Abnormal ventricular arrhythmias
  3. Flushed skin
  4. Weakness
  5. Thirst
  6. Decreased bowel sounds
  7. Diarrhea

 

 

  1. Piya Jordan's BUN level is elevated. What is BUN used to measure? What can BUN help to determine? (Hint: Refer to your nursing drug guide as needed.)

 

  1. What factors might explain her elevated BUN level that resulted during the preoperative period?

 

  1. What treatment was given that would aid in reversing this condition?

 

 

  1. Piya Jordan's IV solution can best be described as:
  1. isotonic.
  2. hypertonic.
  3. hypotonic.

 

  1. Piya Jordan's IV is running at 100 mL/hour. Assume the IV is being delivered by way of macrodrip tubing. Calculate the drop rate for an IV drop factor of 10 gtt/mL.

 

  1. Which of the following statements best describes an IV site without complications?
  1. IV infusing at 75 mL/hour, site warm with redness, nontender
  2. IV infusing at 100 mL/hour, site nontender, without redness or swelling
  3. IV infusing at keep-vein-open rate, swelling less than 1 inch around site, cool to touch
  4. IV infusing at 100 mL/hour, pain on palpation over site, skin blanched and cool to touch

 

 

 

Indicate whether the following statement is true or false.

 

  1. The findings from the assessment of Piya Jordan's oral mucosa and skin indicate normal hydration and good integrity.

 

 

 

  1. Which of the following interventions would be appropriate to manage Piya Jordan's fluid imbalance?
    1. Give oral fluids.
    2. Increase IV infusion rate.
    3. Initiate tube feeding.
    4. Discontinue NG decompression.

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