Questions 49

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ATI Nur 221 Med Surg unit 4 Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client diagnosed with acute renal failure and has a potassium level of 8.3 mEq/L. What collaborative intervention would be a priority for this client?

Correct Answer: A

Rationale: A potassium level of 8.3 mEq/L is critically high, putting the client at immediate risk for life-threatening cardiac arrhythmias. Emergency dialysis is needed to remove excess potassium.

Question 2 of 5

What is the rational for administering calcium carbonate to a client with chronic renal failure?

Correct Answer: D

Rationale: Calcium carbonate is a phosphate binder that reduces phosphorus absorption from food, addressing hyperphosphatemia in chronic renal failure.

Question 3 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which intervention should the nurse perform?

Correct Answer: B

Rationale: Client education on fluid restrictions is a nursing responsibility and cannot be delegated.

Question 4 of 5

A nurse is caring for a client who has hyperkalemia and is to receive intravenous insulin. Which of the following should the nurse recognize as an adverse outcome?

Correct Answer: B

Rationale: IV insulin can cause hypoglycemia (glucose <70 mg/dL), an adverse effect of treatment.

Question 5 of 5

The nurse is looking at a set of ABG's and notices a bicarbonate level of 30. What other change would the nurse expect to see in their lab values?

Correct Answer: A

Rationale: Metabolic alkalosis is often associated with hypochloremia, especially when caused by vomiting or diuretics.

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