ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L (3.5 -5 mEq/L). The nurse notifies the provider and anticipates that the provider will provide which of the following instructions?
Correct Answer: C
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias, necessitating an ECG to monitor for abnormalities.
Question 2 of 5
A nurse is collecting data from a client who has a calcium level of 12 mg/dL (9-10.5 mg/dL). Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Hypercalcemia depresses neuromuscular function, leading to decreased deep tendon reflexes.
Question 3 of 5
A nurse is monitoring a client who has dehydration and is receiving IV fluid replacement. Which of the following findings should the nurse identify as effectiveness of the treatment?
Correct Answer: B
Rationale: Urine output of 200 mL/4 hr (50 mL/hr) indicates improved kidney perfusion and hydration, suggesting effective treatment.
Question 4 of 5
The nurse is reviewing laboratory results for a group of patients. Which value should be of most concern to the nurse?
Correct Answer: B
Rationale: A magnesium level of 1.0 mEq/L indicates hypomagnesemia, which can cause serious complications like arrhythmias and seizures, making it the most concerning value.
Question 5 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.