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 phoning a provider to report a client's serum potassium of 6.2 mEq/L (3.5-5 mEq/L). Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: A
Rationale: Sodium polystyrene sulfonate (Kayexalate) is used to treat hyperkalemia by lowering potassium levels through ion exchange in the intestines.
Question 3 of 5
A nurse is reinforcing discharge teaching with a client about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Cantaloupe is a potassium-rich food, indicating the client understands the dietary teaching.
Question 4 of 5
A nurse is monitoring a client who is dehydrated. Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: C
Rationale: An elevated BUN level (25 mg/dL) is above the normal range (10-20 mg/dL) and indicates dehydration due to increased protein breakdown and decreased renal perfusion, requiring immediate reporting to the provider.
Question 5 of 5
An 87-year-old patient recovering from abdominal surgery has a continuous intravenous infusion to supply nutrients and antibiotics. What complication should you suspect when signs and symptoms of redness, warmth, and pain at the infusion site are reported?
Correct Answer: B
Rationale: Phlebitis, inflammation of the vein, commonly presents with redness, warmth, and pain at the IV site, often caused by the catheter or medication.