ATI RN
Fluid and Electrolytes ATI Questions
Question 1 of 5
A patient is receiving furosemide (Lasix) 40 mg/d IV. What electrolyte value should be monitored when a patient is receiving a loop diuretic?
Correct Answer: C
Rationale: The diuretics act on the ascending loop of Henle to prevent re-absorption of water, potassium, and sodium. Because of this, potassium and sodium levels should be monitored when a patient is receiving diuretics.
Question 2 of 5
A female patient is discharged from the hospital after having an episode of heart failure. She's prescribed daily oral doses of digoxin (Lanoxin) and furosemide (Lasix). Two days later, she tells her community health nurse that she feels weak and her heart "flutters" frequently. What action should the nurse take?
Correct Answer: C
Rationale: Furosemide is a potassium-wasting diuretic. A low potassium level may cause weakness and palpitations. Telling the patient to rest more often won't help the patient if she's hypokalemic. Digoxin isn't causing the patient's symptoms, so she doesn't need to stop taking it. The patient should probably avoid caffeine, but this wouldn't resolve potassium depletion.
Question 3 of 5
A patient with diabetes insipidus is admitted to the intensive care unit after a motor vehicle accident that resulted in head trauma and damage to the pituitary gland. Diabetes insipidus can occur when there is a decreased production of which of the following?
Correct Answer: A
Rationale: Diabetes insipidus is characterized by a deficiency in antidiuretic hormone (ADH), leading to excessive urine output and thirst.
Question 4 of 5
The nurse preparing a site for the insertion of an IV catheter should treat excess hair at the site by:
Correct Answer: C
Rationale: Hair can be a source of infection and should be removed by clipping. Shaving the area can cause skin abrasions, and depilatories can irritate the skin.
Question 5 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.
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