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AH EXAM #1
| Question | Answer |
|---|---|
| A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should anticipate which laboratory test result? | Serum sodium level of 124 mEq/L |
| Which sign suggests that a client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications? | Jugular vein distention |
| Which daily assessment data is necessary to determine changes in hypervolemia status? | Weight |
| Which pair of organs is responsible for regulatory processes and compensation? | Lungs and kidney |
| The nurse is caring for a client with a serum potassium concentration of 6.0 mEq/L (6.0 mmol/L). The client is ordered to receive oral sodium polystyrene sulfonate and furosemide. What other order should the nurse anticipate giving? | Discontinue the intravenous lactated Ringer solution |
| Which could be a potential cause of respiratory acidosis? | Hypoventilation |
| The nurse is assigned a client with calcium level of 4.0 mg/dL. Which system assessment would the nurse ask detailed questions? | Neurological system |
| The nurse monitors a patient who is being evaluated for hyperkalemia. She is aware that ECG changes and serum potassium levels are diagnostic. Which of the following are the earliest changes that the nurse should report? | K+ = 7 mEq/L; peaked T waves |
| A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Laboratory results reveal serum sodium level 130 mEq/L and urine specific gravity 1.030. Which nursing intervention helps prevent complications associated with SIADH? | Restricting fluids to 800 ml/day |
| A nurse is caring for a client in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat: | hyperkalemia. |
| A client presents with fatigue, nausea, vomiting, muscle weakness, and leg cramps. Laboratory values are as follows: Na + 147 mEq/L K + 3.0 mEq/L Cl - 112 mEq/L Mg ++ 2.3 mg/dL Ca ++ 1.5 mg/dL | Hypokalemia |
| A client presents with anorexia, nausea and vomiting, deep bone pain, and constipation. The following are the client's laboratory values. Na + 130 mEq/L K + 4.6 mEq/L Cl - 94 mEq/L Mg ++ 2.8 mg/dL Ca ++ 13 mg/dL | Hypercalcemia |
| Which laboratory result does the nurse identify as a direct result of the client’s hypovolemic status with hemoconcentration? | Elevated hematocrit level |
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hobart3809