Nokea
The nurse explains that a normal adult will lose approximately 350 mL of water through respiration in the course of a(n) __.
Correct Answer: day
Rationale: Adults lose about 350 mL of water daily through respiration.
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When administering intravenous (IV) fluids the nurse ensures that the IV fluids are infusing as ordered to prevent dehydration in an adult. When could dehydration become lethal?
- A. If the patient loses 5% of body fluid
- B. If the patient loses 10% of body fluid
- C. If the patient loses 15% of body fluid
- D. If the patient loses 20% of body fluid
Correct Answer: D
Rationale: A loss of 20% of body fluid in an adult is fatal.
The nurse uses a diagram to show that fluids in the interstitial and intravascular compartments are combined. What do they combine to form?
- A. Intercellular compartment
- B. Circulating compartment
- C. Vertical compartment
- D. Extracellular compartment
Correct Answer: D
Rationale: The fluids in the interstitial and intravascular compartments are combined to form the extracellular compartment.
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.
A child has been having an asthma attack for the last 8 hours. Because of the child's inability to exhale effectively the nurse assesses for respiratory __.
Correct Answer: acidosis
Rationale: Retained CO2 will lead to respiratory acidosis.
What should the nurse focus on when creating a nursing care plan for a patient with metabolic acidosis?
- A. Frequent periods of ambulation
- B. Increasing fluid intake
- C. Decreasing fluid intake
- D. Deep-breathing exercises
Correct Answer: D
Rationale: Deep breathing will cause the patient to blow off CO2 and assist in increasing the pH and reduce the acidity.