ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
Which of the following solutions can be administered with a blood component?
Correct Answer: A
Rationale: 0.9% sodium chloride (normal saline) is isotonic and safe to administer with blood products, as it does not cause hemolysis.
Question 2 of 5
A nurse is collecting data from a client who has a calcium level of 8 mg/dL (9.0-10.5 mg/dL). Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Tetany, involving muscle cramps and spasms, is a common manifestation of hypocalcemia due to increased neuromuscular excitability at low calcium levels.
Question 3 of 5
A nurse is assisting with the care of a client who is hypovolemic due to blood loss following a motor-vehicle crash and needs a blood transfusion immediately. The nurse should anticipate a prescription for which of the following IV solutions while awaiting blood from a type and cross-match?
Correct Answer: B
Rationale: Lactated Ringer's, an isotonic solution, restores fluid volume and electrolytes, making it suitable for hypovolemic shock while awaiting blood.
Question 4 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 5 of 5
A nurse is collecting data from a client who has a calcium level of 12 mg/dL (9-10.5 mg/dL). Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Hypercalcemia depresses neuromuscular function, leading to decreased deep tendon reflexes.