1) A nurse is checking laboratory results for a patient with TPN and lipids and notes the following: Sodium: 138 mEq/L Potassium: 4.1 mEq/L Calcium: 10.1 mg/dL Albumin: 5.4 g/dL Triglycerides: 426 mg/dL Alkaline Phosphatase: 100 IU/LBased on these laboratory results, which of the following actions is most appropriate?

2) The nurse is caring for a patient with a pituitary tumor. The nurse assesses the urine and reviews the lab results. The urine specific gravity is 1.075 and urine output is minimal. What would the nurse expect the sodium level to be in this patient?

The nurse is caring for a patient with a pituitary tumor. The nurse assesses the urine and reviews the lab results. The urine specific gravity is 1.075 and urine output is minimal. What would the nurse expect the sodium level to be in this patient?

3) A patient is brought in the emergency department with abdominal pain and dehydration. His glucose levels are 328 mg/dL and his sodium level is 148 mEq/L. The physician has diagnosed the patient diabetic ketoacidosis. Which action would the nurse perform first?

4) A patient with hypotension is in the emergency department being evaluated. The patients sodium level has come back at 146 mmol/L. What interventions by the nurse would be most appropriate in caring for this patient with hypernatremia? Select all that apply.

5) A client has +3 pitting edema in their legs and a potassium of 2.3 mEq/L, the nurse knows which of the following diuretic is likely to be ordered?

6) The physician orders an electolyte replacement on a client with a potassium of 2.0. The nurse knows this is the condition of which of the following?

7) A patient has an order for a bolus dose of intravenous potassium due to hypokalemia. The nurse is setting up the bolus to administer. Which information would the nurse include when explaining the bolus to the patient? Select all that apply.

8) The physician orders an electolyte replacement on a client with a calcium of 5.6. The nurse knows this is the condition of which of the following?

9) A client has a calcium reading of 11. What does the nurse expect the clients phosporus reading to be?

10) A nurse is caring for a client who has had thyroid surgery. The client’s calcium result has returned at 7.5 mg/dL. Which nursing interventions are necessary based on this calcium level? Select all that apply.

11) The client is being evaluated for a low calcium condition. Clinical manifestations of low calcium include the following. Select all that apply.

12) A patient's central line has just been inserted by the physician while the nurse assisted. The physician writes orders to start normal saline fluids to run in the catheter and leaves to document the procedure. Which of the following should the nurse do first?

13) A nurse receives an order to administer norepinephrine IV to a patient at a rate of 30 mL/hr. The nurse receives the medication in a 500 mL bag of D5W that contains 40 mg of the drug. How many mcg/min will the patient receive?

14) A nurse notes that a client’s recieving IV is Ringer’s Lactate when the orders state that the IV solution should be D5W. What is the first thing the nurse should do?

15) A patient has been brought in to the emergency department where the physician orders a bolus of colloid solution. Which of the following types of solutions are considered to be colloids? Select all that apply.

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