Questions 9

ATI RN

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Fluid and Electrolytes ATI Questions

Question 1 of 5

A patient is in the hospital with heart failure. The nurse notes during the evening assessment that the patient's neck veins are distended and the patient has dyspnea. What action should the nurse take?

Correct Answer: C

Rationale: The symptoms of neck vein distention and dyspnea suggest fluid overload. Placing the patient in semi-Fowler's position and administering diuretics can help reduce fluid volume and improve breathing.

Question 2 of 5

A nurse is taking care of a 65-year-old female patient in a medical-surgical unit who is in renal failure; during the assessment the patient complains of tingling in her lips and fingers. When the nurse takes her blood pressure, she has a spasm in her wrist and hand. The nurse suspects:

Correct Answer: B

Rationale: Tetany is the most characteristic manifestation of hypocalcemia and hypomagnesemia. Sensations of tingling may occur in the tips of the fingers, around the mouth, and less commonly in the feet. Taking a normal blood pressure could illicit a carpal spasm if it creates slight ischemia of the ulnar nerve.

Question 3 of 5

Which of the following might the nurse assess in a patient diagnosed with hypermagnesemia?

Correct Answer: A

Rationale: To gauge a patient's magnesium status, the nurse should check deep tendon reflexes. If the reflex is absent, this may indicate high serum magnesium.

Question 4 of 5

The nurse is caring for a postthyroidectomy patient at risk for hypocalcemia. What action should the nurse take when assessing for hypocalcemia?

Correct Answer: D

Rationale: Muscle twitching and numbness or tingling of the lips, fingers, and toes are signs of hyperirritability of the nervous system due to hypocalcemia. The other options describe complications the nurse should also be observing for; however, tetany and neurologic alterations are primary indications of hypocalcemia.

Question 5 of 5

The nurse is caring for a patient who is diaphoretic from a fever. The amount of sodium excreted in the urine will:

Correct Answer: A

Rationale: Increased sweating (diaphoresis) leads to the loss of sodium and other electrolytes, resulting in higher sodium excretion in the urine.

Similar Questions

The nurse is caring for a patient who is diaphoretic from a fever. The amount of sodium excreted in the urine will:
A nurse preparing to start an IV on a newly admitted patient teaches the patient about the procedure and begins to prepare the site. The nurse should always start by:
The nurse is assessing the patient for the presence of a Chvostek's sign. What electrolyte imbalance does a positive Chvostek's sign indicate?
A patient's lab results show a slight decrease in potassium. The physician has declined to treat with drug therapy but has suggested increasing the potassium through diet. Which of the following would be a good source of potassium?
The patient asks the nurse if he will die if air bubbles get into the IV tubing. What is the nurse's best response?

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