Nokea
Intravenous therapies often consist of electrolyte replacement therapies. Select the electrolyte that is accurately paired with one of its functions.
- A. Sodium: The control and management of circulating blood volume.
- B. Bicarbonate: The regulation of extracellular fluid.
- C. Chloride: The regulation of plasma protein.
- D. Calcium: The metabolism of fats, carbohydrates, and proteins.
Correct Answer: A
Rationale: Sodium regulates circulating blood volume by maintaining osmotic balance.
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The nurse is providing discharge instructions to a client prescribed phenazopyridine. Which of the following instructions should the nurse include?
- A. The amount of urine you void will increase
- B. Your urine will turn orange in color
- C. You may notice that your urine is malodorous
- D. Concentrated urine is an expected finding
Correct Answer: B
Rationale: Phenazopyridine causes orange-colored urine, a common side effect to inform clients about.
The nurse receives a prescription for sevelamer. The nurse plans on administering this medication
- A. with the client's meals.
- B. immediately before hemodialysis.
- C. with a prescribed proton pump inhibitor (PPI).
- D. right before the client goes to bed.
Correct Answer: A
Rationale: Sevelamer, a phosphate binder, is administered with meals to bind dietary phosphate in the gastrointestinal tract, reducing serum phosphorus levels. Administering before hemodialysis (B), with a PPI (C), or at bedtime (D) is not the standard protocol.
Following surgery for a prolapsed bladder, a 74-year-old female client is two days postoperative with an indwelling urinary catheter. While the nurse is making morning rounds, the client states, 'I feel like peeing again!' The most appropriate response for the nurse is:
- A. It's just bladder spasms. Nothing to worry about.'
- B. Let me look at your urine bag to ensure it's draining properly.'
- C. You should do Kegel exercises regularly to stop this urge to void.'
- D. Is this the first time this has happened?'
Correct Answer: B
Rationale: Checking the urine bag ensures the catheter is draining properly, addressing the sensation of needing to urinate.
The nurse is caring for a client in the medical-surgical unit. The nurse is reviewing the client's laboratory data and should take which action.
- A. Review the client's current medications
- B. Plan to initiate daily fluid restrictions
- C. Clarify the prescribed chest radiograph (x-ray)
- D. Insert an indwelling urinary catheter to monitor urinary output
Correct Answer: A
Rationale: Reviewing medications identifies potential causes of lab abnormalities, guiding appropriate interventions.
The nurse is caring for a client with polycystic kidney disease (PKD). Which of the following would indicate the client is achieving treatment goals?
- A. Blood Pressure 128/63 mmHg
- B. Creatinine 2.3 mg/dL [0.6-1.2 mg/dL (53-106 mmol/L)]
- C. Proteinuria 2+
- D. Sodium 132 mEq/L [136-145 mEq/L (mmol/L)]
Correct Answer: A
Rationale: Controlled blood pressure (128/63 mmHg) indicates effective PKD management, as hypertension is a common complication.