ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
The IV infusion pump for a patient receiving an IV therapy begins to alarm and displays occlusion. When the silence button is pushed, the alarm quickly resumes. Which action should the nurse take first?
Correct Answer: D
Rationale: Checking for kinking of the tubing or a closed clamp is the first action, as most occlusions are due to these issues, which can often be resolved immediately.
Question 2 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 3 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 4 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 5 of 5
A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Cool skin is a typical finding in dehydration due to reduced peripheral circulation and vasoconstriction as the body maintains core temperature and blood pressure.