ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL (9-10.5 mg/dL). Which of the following client findings should the nurse expect?
Correct Answer: C
Rationale: Hypocalcemia, common post-thyroidectomy, can cause muscle tetany due to increased neuromuscular excitability.
Question 2 of 5
A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?
Correct Answer: B
Rationale: Chvostek's sign, facial muscle twitching when the facial nerve is tapped, is a classic indicator of hypocalcemia.
Question 3 of 5
A nurse is preparing to administer dextrose 5% in water (DSW) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)
Correct Answer: B
Rationale: Using the formula Flow rate (gtt/min) = (Volume/Time) × Drop factor, 100 mL / 60 min × 15 gtt/mL = 25 gtt/min.
Question 4 of 5
A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: Using the formula Flow rate (gtt/min) = (Volume/Time) × Drop factor, 400 mL / (8 × 60) × 60 gtt/mL = 50 gtt/min.
Question 5 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.