Take Quiz: Quiz for Hypertansive and fluid-Electrolytes

Question 1

A client is receiving intravenous sodium bicarbonate for treatment of metabolic acidosis. During this infusion, how will the nurse monitor for therapeutic effect?*

A. Blood urea nitrogen (BUN)

B. WBC counts

C. Serum pH

D. Renal function laboratory values

Question 2

Which of the following nursing interventions is most important when caring for a client receiving dextran 40 (Gentran 40)?*

A. Assess the patient for deep venous thrombosis.

B. Observe for signs of fluid overload.

C. Encourage fluid intake.

D. Monitor arterial blood gases.

Question 3

The client’s serum sodium value is 152 mEq/L. Which of the following nursing interventions is most appropriate for this client? (Select all that apply.)*

A. Assess for inadequate water intake or diarrhea.

B. Administer a 0.45% NaCl IV solution.

C. Hold all doses of glucocorticoids.

D. Notify the health care provider.

E. Have the client drink as much water as possible.

Question 4

A client is receiving 5% dextrose in water (D 5W). Which of the following statements is correct?*

A. The solution may cause hypoglycemia in the client who has diabetes.

B. The solution may be used to dilute mixed intravenous drugs.

C. The solution is considered a colloid solution.

D. The solution is used to provide adequate calories for metabolic needs.

Question 5

A client will be sent home on diuretic therapy and has a prescription for liquid potassium chloride (KCl). What teaching will the nurse provide before the client goes home?*

A. Do not dilute the solution with water or juice; drink the solution straight.

B. Increase the use of salt substitutes; they also contain potassium.

C. Report any weakness, fatigue, or lethargy immediately.

D. Take the medication immediately before bed to prevent heartburn.

Question 6

The nurse weighs the client who is on an infusion of lactated Ringer’s postoperatively and finds that there has been a weight gain of 1.5 kg since the previous day. What would be the nurse’s next highest priority?*

A. Check with the client to determine whether there have been any dietary changes in the last few days.

B. Assess the client for signs of edema and BP for possible hypertension.

C. Contact dietary to change the client’s diet to reduced sodium.

D. Request a diuretic from the client’s provider.

Question 7

The client has been given a prescription of furosemide (Lasix) as an adjunct to treatment of hypertension and returns for a follow-up check. Which of the following is the most objective data for determining the therapeutic effectiveness of the furosemide?*

A. Absence of edema in lower extremities

B. Weight loss of 6 lb

C. Blood pressure log notes blood pressure 120/70 mmHg to 134/88 mmHg since discharge

D. Frequency of voiding of at least six times per day

Question 8

Nifedipine (Procardia) has been ordered for a client with hypertension. In the care plan, the nurse includes the need to monitor for which adverse effect?*

A. Rash and chills

B. Reflex tachycardia

C. Increased urinary output

D. Weight loss

Question 9

The client is taking atenolol (Tenormin) and doxazosin (Cardura). What is the rationale for combining two anti-hypertensive drugs?*

A. The blood pressure will decrease faster.

B. Lower doses of both drugs may be given with fewer adverse effects.

C. There is less daily medication dosing.

D. Combination therapy will treat the patient’s other medical conditions.

Question 10

What health teaching should the nurse provide for the client receiving nadolol (Corgard)?*

A. Increase fluids and fiber to prevent constipation.

B. Report a weight gain of 1 kg per month or more.

C. Immediately stop taking the medication if sexual dysfunction occurs.

D. Rise slowly after prolonged periods of sitting or lying down.