Electrolyte and Fluid Balance Quiz

Which patient is at more risk for an electrolyte imbalance?

Which patient is at most risk for fluid volume deficient?

A patient’s potassium level is 3.0. Which foods would you encourage the patient to consume?

A patient has a potassium level of 2.0. Which of the following would you expect to be order for this patient?

A patient with Alzheimer's disease is admitted with suspected dehydration after his daughter reports that he's refused to drink anything for the past 3 days. The health care provider orders several lab tests. Which lab result is most expected with dehydration?

A 16-year-old male with a recent history of weight loss, increased appetite, and urinary frequency is seen in the clinic. He complains of weakness and syncope. On initial observation, you note that his skin and mucous membranes are dry and that his eyeballs appear sunken. His mother reports that he gets up a lot at night to go to the bathroom. His capillary blood glucose measurement is 480 mg/dl. Which acid-base imbalance should you suspect?

A client has developed hyponatremia as a result of syndrome of inappropriate anti-diuretic hormone. Which type of IV fluid would the nurse most likely administer?

In the extracellular fluid, chloride is a major:

Etiologies associated with hypocalcemia may include all of the following except:

Insensible fluid losses include:

. A client who is recovering from a surgery has been ordered a change from a clear liquid diet to a full liquid diet. The nurse would offer which full liquid item to the client?

The nurse is teaching a client who has iron deficiency anemia about foods she should include in her diet. The nurse determines that the client understands the dietary instructions if she selects which of the following from her menu?

. A client is recovering from debridement of the right leg. A nurse encourages the client to eat which food item that is naturally high in vitamin C to promote wound healing?

A nurse is teaching a client with pancreatitis about following a low-fat diet. The nurse develops a list of high-fat foods to avoid and includes which food on the item list?

A nurse is caring for a client with severe burns of the face and head. The nurse will place the client in which position?

The nurse recognizes that urinary elimination changes may occur even in healthy older adults because of which of the following?

A nurse must measure the intake and output (I&O) for a patient who has a urinary retention catheter. Which equipment is most appropriate to use to accurately measure urine output from a urinary retention catheter?

A patient’s urine is cloudy, is amber, and has an unpleasant odor. What problem may this information indicate that requires the nurse to make a focused assessment?

Which statement by a patient with an ileostomy alert the nurse to the need for further education?

. While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention?

A client with chronic pulmonary disease has a bluish tinge around the lips. The nurse charts which term to most accurately describe the client’s condition?

Clients should be taught that repeatedly ignoring the sensation of needing to defecate could result in which of the following?

The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as:

The nurse has just administered ibuprofen (Motrin) to a child with a temperature of 38.8° C (102° F). The nurse should also take which action?

The nurse in the newborn nursery is preparing to complete an initial assessment on a newborn infant who was just admitted to the nursery. The nurse should place a warm blanket on the examining table to prevent heat loss in the infant caused by which method?

Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. The initial nursing action is to:

A nurse is suctioning fluids from a male client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning time to a maximum of:

A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which if the following is the appropriate nursing intervention?

. Which phrase is used to describe the volume of air inspired and expired with a normal breath?

A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations?

A black client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the:

The nurse assesses a male client’s respiratory status. Which observation indicates that the client is experiencing difficulty breathing?

A nurse is caring for an 82-year-old woman in a long-term care facility who has had two urinary tract infections in the past year related to immobility. Which finding would the nurse expect in this patient?

A nurse is caring for a 73-year-old male patient who is hospitalized with pneumonia and is experiencing some difficulty breathing. The nurse most appropriately assists him into which position to promote maximal breathing in the thoracic cavity?

Patient X is diagnosed with constipation. As a knowledgeable nurse, which nursing intervention is appropriate for maintaining normal bowel function?

A 12-year-old boy was admitted in the hospital two days ago due to hyperthermia. His attending nurse, Dennis, is quite unsure about his plan of care. Which of the following nursing intervention should be included in the care of plan for the client?

Lisa, a client with altered urinary function, is under the care of nurse Tine. Which intervention is appropriate to include when developing a plan of care for Lisa who is experiencing urinary dribbling?

Which electrolyte would the nurse identify as the major electrolyte responsible for determining the concentration of the extracellular fluid?

Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte imbalance?

True or False: When using the swing-to gait with crutches, the patient will move both crutches forward, and then will move both legs forward to the same point as the crutches.*

While going down the stairs with crutches the patient will move the crutches down onto the step followed by?

What is hypoxemia?

Which of the following conditions may require fluid restriction?

When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury?

A client with heart failure has been told to maintain a low sodium diet. A nurse who is teaching this client about foods that are allowed includes which food item in a list provided to the client?

A client with chronic obstructive pulmonary disease (COPD) is prescribed oxygen 24% 2 L/min. Which is the best method to administer oxygen to this client? A) Face mask

The structure of the respiratory system that serves as the site of gas exchange is the

Friends of a client hospitalized with asthma would like to bring the client a gift. Which gift should the nurse recommend for this client?

Jeron is admitted in the hospital due to bacterial pneumonia. He is febrile, diaphoretic, and has shortness of breath and asthma. Which goal is the most important for the client?

A patient with tented skin turgor, dry mucous membranes, and decreased urinary output is under nurse Mark’s care. Which nursing intervention should be included the care plan of Mark for his patient?

Nurse Shane does her morning rounds in the station where elderly patients were admitted. Nurse Shane reviewed her concept in fundamentals of nursing prior to duty. Upon assessment of patient Laura, Shane noticed a wound on the left side of Laura's buttocks. Shane is aware that

The patient in the OB ward is about to come out of the operating theatre due to removal of fallopian tube. Ad a nurse in the ward who will receive the patient, you will prepare

The patient from the OR has arrived in her room, you notice that the patient is having chills. The nurse then prepares the patient to be placed in

The folks of your patient ask you regarding the Philippine Red Cross, after explaining what Philippine Red Cross is all about, one of the folks said "My sister is also a nurse in the US, I just don't have any idea if they have American Red Cross in their country. The nurse is correct if he will say that

A 10 year old child was brought into the clinic by his mother due to feeling of bloated abdomen. The child states that he can't pass out his flatus for 3 days. The doctor then ordered an enema. Which type of enema is applicable in the child's case

At 7am after completing your rounds on your way to your station, you saw the folk of one of your patient opening and reading the chart of the patients. You are aware that this action is against the data privacy act of the Philippines. Based on the situation, the folk is held liable against

A patient from vehicular accident came in to the ER. Upon assessment, patient has acquired multiple injury on both upper and lower extremities. You also noted a wound in the temporal area, upon checking, severe bleeding is present. BP revealed 80/60mmhg. Base on these findings, you know the most helpful position is

Basic knowledge in the management of bleeding is very essential, the best action to stop bleeding includes all, which is less in priority?

The clinical instructor is giving lectures regarding the functions of the kidneys. One of the most essential function of the kidney is BP regulation. This is controlled in the kidneys'

A female patient having suprapubic pain came in to the clinic. The patient claimed "I just had my cycle this morning and the pain is increasing, I don't think I can still manage this by myself". Based on this situation, your appropriate initial action is to

The patient is complaining of suprapubic pain and claims "I just had my cycle this morning and the pain is increasing, I don't think I can still manage this by myself the nurse is correct when she states that the type of data she gathered is

. Bianca, an OR nurse is now preparing her for CS procedure. With her bare hands, she accidentally touched a forcep in the sterile table, base in the principle of aseptic technique, Bianca failed to adhere to

One morning while having your duty in the infirmary, a wounded soldier was brought inside due to lacerated wound at his right hand, approximately 4-5cm. Bleeding is no longer noted. As a nurse, infection control is your priority thus wound dressing is very essential at the moment. Your patient is fully awake and vital signs are stable. You let the patient sit in the chair near the dressing cart. The nurse is best when she cleans the wound by

The doctor arrived and the patient has been examined. The doctor opted to do suturing of wound. In assisting the physician, the nurse should observe

The patient is about to be discharged from the infirmary. Your education will include

Upon interview, the soldier said " I thought I am going to die because the wound is so painful and the bleeding won't stop" this is an example of

Upon assessment, all vital signs are stable. Base on your concept, Objective data is a data that

Riza, a DR nurse in one of the biggest hospital in your city has attended the delivery of her patient. A healthy baby boy with a normal vital signs and good reflexes. The mother of the child upon rooming in, noticed the movement of her child's scrotum while she was changing his diaper. The mother ask you if this is just normal. Base on your concept, your best response would be

Laura, a 20 years old female went to the clinic with signs of depression. Upon gistory taking, you found out that her husband left her due to infertility, 3 years ago. The patient is quiet and is crying at times. She is hesitant to open up her feelings. Upon assessment, vital signs are normal. Based on this assessment, the nurse would identify this as

After informing Lyca that her dog passed away, she immediately run home. Upon seeing her dog, lyca told you that her dog isn't dead, he is just asleep. This is a form of

Nelly, a clinical instructor is conducting her classes with the BSN 1 students regarding health and wellness. After discussing the models, nelly then gave an assessment activity to measure her student’s knowledge about the subject matter. Jessa, one of nelly’s student was asked to define the eudemonistic model in front of the class, Jessa is correct when she states that.

After the discussion, Nelly asked her student, John about Dunn’s theory, Jack is incorrect when he says that

At 7am, Lara, a nurse working in one of the hospitals in her city is now reporting to duty and making her rounds. The physician came in to check the patient admitted in the ward. Rita, one of Lara’s patient, upon opening her chart, saw that she has a diagnosis of stage 2 breast cancer, right. The doctor started his visit with Rita to inform her of her present condition and the treatment that she needs to undergo. After the explanation, the doctor then left to attend to his other patients, Lara is standing beside Rita’s bed. Rita then said “I am scared, I do not know what to do, I don’t know if I will make it through the treatment or will it be painful” based on your theory, Rita’s verbalization is an example of

Based on the situation above, Lara’s best response would be

Rita was scheduled for mastectomy, after her surgery and her condition has been stabilized, Rita was transferred back to her previous room. Lara was still there to receive and answer the needs of Rita. Body changes following surgery is very evident, Lara should include

You are working as a nurse in the community, one morning you have heard that Gino, the son of Mrs. Cruz committed suicide the previous night to due to break up from her girlfriend. You visited Mrs. Cruz to check on her but she appears to be calm, relax seems like nothing happened. She talks about everything with out any hesitation. This situation, based on your theory can be

As a nurse, our scope of practice is patient-centered, one of these functions is prevention of injury from hospital up to the home and the community. This definition is under the concept of

Chris, a junior nurse is preparing his medications for 8am. Due to increase number of patients in the ward, Chris is also preparing a huge number of medications in the medication area. Base on the practice formulated by the National Patient Safety Goal, in Order to lessen the error of administering the medication to the wrong patient and to improve accuracy of identification, Chris should

Sarah, a clinical instructor is discussing about hygiene. She discusses to her students the different functions and purposes of hygiene. After her lecture, she asked Paul, her student, about the definition of personal hygiene, Paul is incorrect when he says that personal hygiene is

A 35 years old female patient came in to the OPD to have her check-up. After thorough assessment and interview, the patient verbalizes “I feel like I couldn’t stand all alone. I feel like my knees and trembling and is weak” based on this claim, the doctor ordered serum potassium as her laboratory test. 15 mins after, the potassium revealed 2.0 mEq/L. As a nurse, you know that your doctor would order

Based on the above situation, Kara, the nurse in charge would anticipate the diagnosis of

Nursing care plan for patient with potassium of 2.0 mEq/L would focus more on

Paula, the patient who has had a potassium of 2.0 mEq/L is now admitted in your unit. The doctor ordered intravenous infusion of your potassium and an oral potassium of 9 doses at TID timing. Diet instruction should include

You are a nurse assigned to give the medications for the morning shift. Due to surge of admission the previous night, the patient’s census in your ward also increases, this prompted to you to prepare several types of medication, from oral, intravenous, topical and inhalation. Medication error, being the most common type of error in the clinical setting can be prevented through

You are now ready to give your medication to your patients in the ward. You are bringing the medication tray full of medicines with their medication cards on it. To prevent the error of giving the medication to the wrong patient, you, as the nurse would

The school is conducting a seminar regarding preventions of illness. Reviewing the concepts in your Fundamentals of Nursing, you know that there are 3 types of prevention. A patient with long arm cast on his left arm due to fracture brought about by vehicular accident is about to be discharged, he was instructed that the cast will be removed after 2 weeks and therapy of the affected arm will take place thereafter. Based on your knowledge, your patient is in stage

Myla, a 32 years old female is admitted in your unit due to maladaptive pattern of behavior, she talks and laughs all by herself. She is very active and is trying to get out of her bed. She climbs in the side rails that may cause her to fall on the floor. After all the possible initiative for restraints has been applied, the doctor opted to give relaxant via intravenous access to calm Myla down. This type of restraint is under

Your morning shift is about to end and all of your nursing responsibilities has been carried out. Those actions should be documented as a proof that you have done those intervention for your patient. These actions should be documented in

Each person has its own ability to adapt to different types of environment. Which among these statements shows ineffective adaptation?

Sheena, a 15 years old child is brought to the ER due to excessive vomiting after ingestion of iced chocolate and a cookie, she is oriented and can respond appropriately. After assessment, vital signs are normal. Priority nursing diagnosis will focus more on

As a nurse working in the hospital caring for patients with different patterns of beliefs and values, you should be flexible and holistic in your approach to caring. Your patient’s folks approached you one morning and stated her feelings regarding her loss, as a nurse, your best response would be

Sheena, a nurse assigned in the ward is about to perform post mortem care to her patient who expired due vehicular accident. Sheena is accountable for all the patient’s things. As a part of the procedure, Sheena removed the patient’s belongings and placed it in a bag then labeled it with a patient’s complete name. Upon reviewing other information, Sheena found out that the patient is married. Sheena, according to her basic knowledge is correct when she removed all the patient’s belongings, except

After all the contraptions for resuscitation has been removed and the patient has been cleaned, Sheena will

The wife and other folks has arrived after a few minutes and she was crying and shouting upon seeing her husband’s body. Sheena’s best response would be

Chemicals are one of the most common cause of poisoning in the home setting, proper actions should be initiated in order to prevent this type of injury. Your teaching in a child rearing family, with a 4 years old child will focus on

A junior nurse will be starting her first day of duty today. She has a patient assigned to her with NGT tube in place. The nurse is aware of the purpose of this procedure. Upon checking the patient, the nurse saw her patient’s NGT in place. The patient is scheduled to be fed at 10 in the morning. Basic knowledge in the care for patient with NGT is necessary. The nurse prepares her feeding and went to the patient’s room to do the feeding procedure. The nurse is aware that aside from the feeding and feeding materials, she should bring with her the

Nurse knows that prior to feeding, her initial action would be

COVID19 is one of the most feared illness present now a days, no vaccine or treatment is available but preventions have been determined. As a nurse, you will include in your teachings that the best way to prevent the spread of this virus is through

Jean, a 1st year nursing student is conducting her return demonstration on administration of injection via subcutaneous approach. Her clinical instructor asked her about the medication absorption in subcutaneous injection. Jean is correct when she states that

A 22 years old male patient is brought to the clinic due to difficulty of breathing. Upon assessment, vital signs are BP: 120/70mmHg, PR: 114bpm, RR: 32cpm and an oxygen saturation of 96%. The folk said that the patient came home from school after taking his math exam. As a nurse, you will expect that the patient’s condition is