ATI RN
Chapter 14 Nutrition and Fluid Balance Workbook Answers Questions
Question 1 of 5
A patient who has been hospitalized for 2 days, has a nasogastric tube to low suction and is receiving normal saline IV at 100 mL/hr. Which assessment finding would be a priority for the nurse to report to the health care provider?
Correct Answer: B
Rationale: The correct answer is B: Decreased alertness since admission. This finding indicates a potential neurological issue, such as electrolyte imbalance or fluid overload, which could be critical for the patient's well-being. The nurse should report this immediately to prevent further complications. A: Oral temperature of 100.1 F is a low-grade fever and may indicate infection, but it is not as urgent as a neurological issue. C: Weight gain of 2 pounds over 2 days may suggest fluid retention, but it is not as critical as a neurological change. D: Serum sodium level of 138 mEq/L is within the normal range and does not indicate an immediate threat to the patient's health.
Question 2 of 5
The patient is in a progressive care unit following arteriovenous fistula implantation in his left upper arm, and is due to have blood drawn with his next set of vital signs and assessment. When the nurse assesses the patient, the nurse should
Correct Answer: D
Rationale: The correct answer is D. Auscultating the left arm for a bruit and palpating for a thrill are essential post-arteriovenous fistula implantation assessments. A bruit indicates turbulent blood flow, which could suggest stenosis or occlusion. A thrill indicates the patency of the fistula. Drawing blood from the left arm (A) should be avoided to prevent damage to the fistula. Taking blood pressure from the left arm (B) could also damage the fistula. Starting a new intravenous line in the left lower arm (C) is unnecessary and could increase the risk of infection.
Question 3 of 5
The critical care nurse is responsible for monitoring the patient receiving continuous renal replacement therapy (CRRT). In doing so, the nurse should
Correct Answer: B
Rationale: The correct answer is B: assess the hemofilter every 6 hours for clotting. This is crucial in CRRT as clotting can lead to decreased efficacy or even system failure. By checking the hemofilter regularly, the nurse can detect clot formation early and prevent complications. Assessing the blood tubing for warmth (A) is not a reliable indicator of clotting or malfunction. Covering dialysis lines to protect from light (C) is not necessary for CRRT monitoring. Using clean technique during vascular access dressing changes (D) is important for infection prevention but not directly related to hemofilter clotting in CRRT.
Question 4 of 5
Complications common to patients receiving hemodialysis for acute kidney injury include which of the following? (Select all that apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Hemodialysis involves fluid removal, which can lead to hypotension due to rapid changes in blood volume. 2. Hypotension is a common complication during hemodialysis sessions. 3. Patients on hemodialysis are at increased risk of hypotension due to decreased vascular tone. 4. Monitoring and managing hypotension is crucial to prevent further complications. Summary: B: Dysrhythmias are not commonly associated with hemodialysis for acute kidney injury. C: Muscle cramps may occur but are not as common as hypotension. D: Hemolysis is not a typical complication of hemodialysis for acute kidney injury.
Question 5 of 5
Which type of transeellular fluid is associated with the intestines?
Correct Answer: A
Rationale: The correct answer is A: peritoneal fluid. The peritoneal fluid is the transcellular fluid associated with the intestines. It is found within the peritoneal cavity, which surrounds the abdominal organs, including the intestines. Peritoneal fluid helps lubricate the abdominal organs and allows them to move smoothly during digestion. Pericardial fluid (B) is found in the pericardial sac surrounding the heart, intrapleural fluid (C) is in the pleural cavity surrounding the lungs, and synovial fluid (D) is found in joint cavities. These fluids serve different purposes and are not directly associated with the intestines.