ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 29 Questions
Question 1 of 5
Which is true of respiratory acidosis?
Correct Answer: B,D
Rationale: Respiratory acidosis results from hypoventilation, causing CO2 retention and a pH drop below 7.35.
Question 2 of 5
The patient complains of shortness of breath and is expectorating pink frothy sputum. The nurse would assess for further signs and symptoms of:
Correct Answer: C
Rationale: Pink frothy sputum and shortness of breath are hallmark signs of fluid overload, often due to pulmonary edema.
Question 3 of 5
Your patient has a low potassium level, uncorrected by oral medications. The physician orders 30 mEq of KCl added to the IV of 1,000 mL of normal saline to infuse at 80 mL per hour. Which nursing intervention is of the most importance to perform today?
Correct Answer: D
Rationale: Adequate urine output ('?¥30 mL/hour) is critical when administering IV potassium to prevent hyperkalemia.
Question 4 of 5
The nurse is completing an I&O sheet for the patient. Which will the nurse include in the output?
Correct Answer: C,D,F
Rationale: Liquid stool, emesis, and urine are measurable outputs included in an I&O sheet.
Question 5 of 5
When teaching a patient about ways to avoid fluid overload, the nurse explains it is best to eat a diet that is low in:
Correct Answer: D
Rationale: A low-sodium diet helps prevent fluid retention, reducing the risk of fluid overload.