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1. A client is diagnosed with metabolic acidosis, which would the nurse expect the health

care provider to order?: Sodium Bicarbonate

2. Which of these clients are high risk for fluid overload?: - A client who is Chronic

Renal failure

- A client who is in heart failure

- A client with Cushing's disease

3. Which of these laboratory values for a febrile client with pneumonia indi- cates a

complication with dehydration?: Increase urine specific gravity

4. What assessment findings would be most consistent with a serum sodium level

128mEq/dL from inadequate sodium intake?: Hypotension and Decreased DTRs

5. What is the priority care for a client who present with an ABG: pH 7.48, PaCO2

33, HCO3 22?: Assist the client to slow down breathing and assist with rebreathing

device

6. What statement by an RN indicates understanding of the pathophysiology behind

acid-base balance?: "Respiratory acidosis can occur from the usage of opioids"

7. Which clinical manifestation would lead the nurse to suspect that a client is

experiencing hypermagnesemia?: Hot flushed skin and Diaphoresis (sweating)

8. Jon has a potassium level of 6.5 mEq/L, which medication would nurse Wilma

anticipate?: Kayexalate (K (potassium) exits late)

9. Which electrolyte would the RN identify as responsible for determining the

concentration of the extracellular fluid?: Sodium

10. Lab tests revealed that patient Z's [Na+] is 170 mEq/L. Which clinical manifestation

would nurse Natty expect to assess?: Tented skin turgor and thirst

11. Tetany is most likely to result from which of the following electrolyte

disorders?: Hypocalcemia

12. What is Tetany?: A condition marked by intermittent muscular spasms, caused by

malfunction of the parathyroid glands and a consequent deficiency of calcium.

13. Which of the following IV solutions would be appropriate for a patient with severe

hyponatremia secondary to SIADH?: Hypertonic solution

14. What disorder impairs water excretion caused by the inability to suppress the

secretion of antidiuretic hormone (ADH): syndrome of inappropriate secre- tion of

antidiuretic hormone (SIADH)

15. When assessing a patient for signs of fluid overload, the nurse would expect to

observe:: Bounding pulse

16. Normal venous blood pH ranges from:: 7.35-7.45

17. Mr. Wenceslao is scheduled to receive an isotonic solution; which one of the

following is an example of such a solution?: 0.9% Saline