Nokea
A nurse assesses an edematous cardiac patient. The nurse is aware that this condition is a result of retained fluid. What is the patient considered to be?
- A. Hyponatremic
- B. Hypokalemic
- C. Hypernatremic
- D. Hypercalcemic
Correct Answer: C
Rationale: Hypernatremia is a greater-than-normal concentration of sodium, which leads to retained fluids and edema.
You may also like to solve these questions
What should the nurse expect when assessing a patient with respiratory alkalosis?
- A. Slow respirations
- B. Muscle weakness
- C. Strong even heart rate
- D. Flushed face
Correct Answer: B
Rationale: Tetany and muscle weakness, tachypnea, and cardiac arrhythmias are symptomatic of respiratory alkalosis.
What is the method by which inhaled oxygen is moved into the intravascular compartment called?
- A. Active transport
- B. Oxygenation
- C. Passive transport
- D. Mass movement
Correct Answer: C
Rationale: Passive transport occurs when the patient inhales oxygen into the lungs, with the oxygen passing by diffusion into the intravascular compartment.
The nurse weighs a patient at the same time of day with the same scale and same clothing. What is this a simple and accurate method of determining?
- A. An accurate weight
- B. Water balance
- C. Adequate nutrition
- D. Urinary output
Correct Answer: B
Rationale: A simple and accurate method of determining water balance is to weigh the patient under the same conditions each day.
A patient began vomiting and continued to do so for several hours. What is the result of this loss of stomach contents?
- A. Metabolic acidosis
- B. Metabolic alkalosis
- C. Respiratory acidosis
- D. Respiratory alkalosis
Correct Answer: B
Rationale: The most common cause of metabolic alkalosis is vomiting gastric contents.
The nurse modifies the care plan for the immobilized patient after assessing a calcium level of 6.2 mEq/L. What nursing assessment should the nurse include when modifying this care plan?
- A. Osteoporosis
- B. Tooth loss
- C. Renal calculi
- D. Contractures
Correct Answer: C
Rationale: Hypercalcemia occurs when calcium levels exceed 5.8 mEq/L. It may occur when calcium stored in the bone enters the circulation for example, in patients who are immobilized. Renal calculi may develop because of high levels of calcium.