Questions 49

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ATI Nur 221 Med Surg unit 4 Exam Questions

Extract:


Question 1 of 5

A nurse is reviewing IV solutions to identify which solution falls under which category.

Correct Answer: A,B,C,D

Rationale: 0.45% Sodium Chloride is hypotonic, causing fluid to shift into cells. 0.9% Sodium Chloride and Lactated Ringers are isotonic, maintaining intravascular volume. Albumin is hypertonic, pulling fluid into the bloodstream.

Question 2 of 5

The nurse notices an abnormal movement in the client's hand and wrist while taking they blood pressure. What action should the nurse take?

Correct Answer: C

Rationale: Carpopedal spasm (Trousseau's sign) during BP measurement suggests hypocalcemia. The nurse should check serum calcium levels to confirm.

Question 3 of 5

The nurse is reviewing the client's following arterial blood gases: pH 7.33, PaCo2 47, HCO3 24. Which manifestation would the nurse expect the client to be experiencing with this imbalance?

Correct Answer: A

Rationale: Respiratory acidosis (low pH, high PaCO2) causes confusion due to decreased brain oxygenation.

Question 4 of 5

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Serum creatinine is a key indicator of kidney function, showing how well kidneys filter waste.

Question 5 of 5

A client is to have hemodialysis. What must the nurse do before this treatment?

Correct Answer: C

Rationale: Pre-dialysis weight is crucial to determine fluid removal needs during dialysis.

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