Practice Questions
Romina is a 50 year old client with chronic kidney disease. While reviewing her labs, you noted that the potassium level is 5.7 mEq/L (5.7 mmol/L). Which patterns would the nurse watch for on the cardiac monitor as a result of the laboratory value?
- ST elevation
- Prominent U wave
- Prolonged ST segment
- Widened QRS complexes
Rationalization
Marina has a sodium level of 130 mEq/L (130 mmol/L). Which of the following is related to this condition?
- The client who is taking diuretics
- The client with hyperaldosteronism
- The client with Cushing’s syndrome
- The client who is taking corticosteroids
Rationalization
Junior’s serum phosphorus (phosphate) level is 1.8 mg/dL (0.58 mmol/L). Which condition most likely caused this serum phosphorus level?
- Malnutrition
- Renal insufficiency
- Hypoparathyroidism
- Tumor lysis syndrome
Rationalization
Nurse Ian is currently reading progress notes in the client’s record and reads that the night shift nurse has documented “insensible fluid loss of about 600 mL daily.” This occurs in which type of excretion?
- Urinary output
- Wound drainage
- Integumentary output
- The gastrointestinal tract
Rationalization
Nurse Christian is preparing to care Alex who had just undergone a renal scan. Which of the following would the nurse include in the plan of care?
- Place the client on radiation precautions for 18 hours.
- Save all urine in a radiation safe container for 18 hours.
- Limit contact with the client to 20 minutes per hour.
- No special precautions except to wear gloves if in contact with the client’s urine.
Rationalization