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Which of the following statements is(are) accurate about caring for patients with hypocalcemia?
- A. IV infusion of calcium can cause bradycardia.
- B. Assess for tingling around the mouth or tips of the fingers.
- C. Assess the patient's lungs frequently for crackles and the patient for shortness of breath.
- D. Monitor for muscle twitching and tetany.
Correct Answer: A,B,D
Rationale: Hypocalcemia care involves monitoring for tingling, muscle twitching, tetany, and potential bradycardia from IV calcium administration.
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If the patient's blood pH is 7.47, the patient is in
- A. Alkalosis.
- B. Acidosis.
- C. Hypovolemic shock.
- D. Tetany.
Correct Answer: A
Rationale: A blood pH of 7.47 is above the normal range (7.35-7.45), indicating alkalosis.
Which laboratory results do you need to check for a patient to whom you are giving furosemide, a loop diuretic?
- A. Hemoglobin
- B. White blood cell count
- C. Urinalysis
- D. Potassium level
Correct Answer: D
Rationale: Furosemide can cause potassium loss, so monitoring potassium levels is critical to prevent hypokalemia.
Which of the following nursing actions might be appropriate for a patient with fluid-volume excess?
- A. Administration of a diuretic ordered by the physician
- B. Encouraging consumption of a high-sodium diet ordered by the physician
- C. Auscultating the breath sounds every 4 hours
- D. Monitoring daily weights
- E. Assessing the SpO_2 every 4 hours, noting decreases
- F. Encouraging oral fluid intake of at least 1,800 mL / day
- G. Monitoring I/O (intake/output)
Correct Answer: A,C,D,E,G
Rationale: Appropriate actions include administering diuretics, monitoring breath sounds, weights, oxygen saturation, and intake/output to manage fluid overload.
Which of the following signs and symptoms may point toward a fluid-volume excess?
- A. Elevated blood pressure
- B. Clear lung fields
- C. Weight gain
- D. Edema of extremities
- E. Crackles in lungs
- F. Respiratory rate of 20 per minute
- G. Decrease in pulse volume
Correct Answer: A,C,D,E
Rationale: Signs of fluid-volume excess include elevated blood pressure, weight gain, edema, and crackles in lungs due to fluid accumulation.
Which of the following accurately describes the effects that ADH has in the body?
- A. It signals the kidneys to increase diuresis, pulling more water from the body to be excreted as urine.
- B. It suppresses urine production, thereby increasing the concentration of the urine.
- C. It directs the kidneys to increase water reabsorption.
- D. It regulates the body's water level independently of solutes.
Correct Answer: C
Rationale: Antidiuretic hormone (ADH) promotes water reabsorption in the kidneys, reducing urine output and concentrating the urine.