ATI RN
Fluid and Electrolytes ATI Questions
Question 1 of 5
The nurse who assesses the patient's peripheral IV site and notes edema around the insertion site will document which complication related to IV therapy?
Correct Answer: C
Rationale: Infiltration is the administration of nonvesicant solution or medication into the surrounding tissue. This can occur when the IV cannula dislodges or perforates the wall of the vein. Infiltration is characterized by edema around the insertion site, leakage of IV fluid from the insertion site, discomfort and coolness in the area of infiltration, and a significant decrease in the flow rate.
Question 2 of 5
The nurse working in the PACU is aware that which of the following procedures may contribute to extracellular losses?
Correct Answer: C
Rationale: Fluid loss from the extracellular compartment can be caused by abdominal surgery.
Question 3 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.
Question 4 of 5
A patient who is in renal failure partially loses the ability to regulate changes in pH because the kidneys:
Correct Answer: C
Rationale: The kidneys regulate the bicarbonate level in the ECF; they can regenerate bicarbonate ions as well as reabsorb them from the renal tubular cells. In respiratory acidosis and most cases of metabolic acidosis, the kidneys excrete hydrogen ions and conserve bicarbonate ions to help restore balance.
Question 5 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.
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