ATI RN
Fluid and Electrolytes ATI Questions
Question 1 of 5
The nurse assessing skin turgor in an elderly patient should remember that:
Correct Answer: C
Rationale: Inelastic skin turgor is a normal part of aging. Dehydration, not overhydration, causes inelastic skin with tenting. Overhydration, not dehydration, causes the skin to appear edematous and spongy. Normal skin turgor is dry and firm.
Question 2 of 5
What would be the best initial nursing actions prior to inserting an IV?
Correct Answer: C
Rationale: Prior to initiating an IV, the nurse should verify the physician's order for IV therapy.
Question 3 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 4 of 5
Third spacing occurs when fluid moves out of the intravascular space but not into the intracellular space. Based upon this fluid shift, the nurse will expect the patient to demonstrate:
Correct Answer: D
Rationale: Third-spacing fluid shift, which occurs when fluid moves out of the intravascular space but not into the intracellular space, can cause hypovolemia.
Question 5 of 5
A patient admitted with a gastrointestinal bleed and anemia is receiving a blood transfusion. Based upon the patient's hypotensive blood pressure, the nurse anticipates an order for IV fluids from the physician. Which of the following IV solutions may be administered with blood products?
Correct Answer: D
Rationale: The only IV solution that may be administered with blood products is normal saline.
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