ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is hypovolemic due to blood loss following a motor-vehicle crash and needs a blood transfusion immediately. The nurse should anticipate a prescription for which of the following IV solutions while awaiting blood from a type and cross-match?
Correct Answer: B
Rationale: Lactated Ringer's, an isotonic solution, restores fluid volume and electrolytes, making it suitable for hypovolemic shock while awaiting blood.
Question 2 of 5
A nurse is assisting with care of a client who has a prescription for 3,000 mL of intravenous fluids over the next 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number)
Correct Answer: B
Rationale: Dividing total volume by time, 3000 mL / 24 hr = 125 mL/hr.
Question 3 of 5
A nurse in a provider's office is collecting data from a client who takes furosemide daily for heart failure. Which of the following findings is a manifestation of hypokalemia?
Correct Answer: B
Rationale: Fatigue is a hallmark symptom of hypokalemia due to impaired cellular and muscle function.
Question 4 of 5
A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Isotonic fluid-volume deficit reduces blood volume, leading to a weak, thready pulse due to decreased cardiac output.
Question 5 of 5
A nurse is caring for a client whose serum potassium level is 5.3 mEq/L (3.5-5 mEq/L). The nurse should anticipate a prescription for which of the following medications?
Correct Answer: C
Rationale: Sodium polystyrene sulfonate (Kayexalate) is used to treat hyperkalemia by lowering serum potassium levels through ion exchange in the intestines.