ATI RN
ATI Med Surg Monroe College Questions
Extract:
Question 1 of 5
A patient with chronic renal failure has an occluded arteriovenous fistula, and routine hemodialysis is delayed. However, the patient's serum potassium level is 6.0 mEq/L. What should the nurse expect to be prescribed for this patient? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Sodium polystyrene sulfonate, dextrose, sodium bicarbonate, and insulin help lower serum potassium levels in hyperkalemia.
Question 2 of 5
A patient is diagnosed with hypokalemia. After reviewing the patient's current medications, which drug should the nurse consider that might have contributed to the patient's health problem?
Correct Answer: C
Rationale: Thiazide diuretics increase urine output and sodium excretion, causing potassium loss, which can lead to hypokalemia.
Question 3 of 5
A patient with chronic renal failure has an occluded arteriovenous fistula, and routine hemodialysis is delayed. However, the patient's serum potassium level is 6.0 mEq/L. What should the nurse expect to be prescribed for this patient? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Sodium polystyrene sulfonate, dextrose, sodium bicarbonate, and insulin help lower serum potassium levels in hyperkalemia.
Question 4 of 5
A nurse is reviewing the laboratory results of a client who is dehydrated. Which of the following BUN lab values should the nurse report to the provider?
Correct Answer: D
Rationale: A BUN level of 25 mg/dL is above the normal range (7 to 20 mg/dL) and indicates dehydration, requiring further evaluation and treatment.
Question 5 of 5
A patient prescribed spironolactone is demonstrating ECG changes and complaining of muscle weakness. The nurse realizes this patient is exhibiting signs of which electrolyte imbalance?
Correct Answer: D
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, leading to ECG changes and muscle weakness.