A nurse is caring for a client who has hypernatremia and requires IV fluid therapy

1.A nurse is assessing who has dehydration. Which of the following assessments is the

priority?

a.Mental status

i.The greatest risk to this client is injury from a fall due to a decline in their

mental status. Therefore, assessing the client’s mental status is the

nurse’s priority.

2.A nurse is reviewing the laboratory report of a client who has fluid volume excess. Which

of the following laboratory values should the nurse expect?

a.Hct 34%

i.The nurse should identify that a client who has fluid volume excess can

have a HCT level that is below expected reference range of 37% to 47%

for females or 42% to 52% for males. Fluid volume excess can cause

hemodilution and a decreased hematocrit level.

3.A nurse is assessing a client who is receiving hydrochlorothiazide and notes that the

client is confused and lethargic. Which of the following laboratory values should the

nurse report to the provider?

a.Sodium 128 mEq/L

i. This level is below the expected reference range of 136 to 145 mEq/L and

is the likely cause of the client's altered mental status. The nurse should

report this finding to the provider and monitor the client for weakened

respiratory effort.

4.A nurse is providing dietary teaching to a client who has kidney disease. Which of the

following food choices should the nurse include in the teaching as containing the lowest

amount of magnesium?

a.1 large, hard-boiled eggs

i.One large, hard-boiled egg contains 5 mg of magnesium. Therefore, the

nurse should recommend this food as containing the lowest amount of

magnesium.

5. A nurse is assessing a client who has a serum calcium level of 8.1 mg/dL. Which of the

following findings is the priority for the nurse to assess?

a.Cardiac rhythm

i.When using the airway, breathing, circulation approach to client care, the

nurse should first assess the client's cardiac rhythm because this total

serum calcium level is below the expected reference range. Hypocalcemia

can cause ECG changes, bradycardia, or tachycardia.

6.A nurse is caring for a client who has a sodium level of 155 mEq/L. Which of the

following IV fluids should the nurse anticipate the provider to prescribe?

a.0.45% sodium chloride

i.A sodium level of 155 mEq/L is an indication of hypernatremia. The nurse

should anticipate a prescription for a hypotonic solution. The 0.45%

sodium chloride is a hypotonic solution used to provide free water and

treat cellular dehydration, which promotes waste elimination by the

kidneys.

7.A nurse is assessing a client who has hypomagnesemia. Which of the following findings

should the nurse expect?

a.Hyperactive deep-tendon reflexes