Textbook of Medical-Surgical Nursing

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BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-SURGICAL NURSING 15TH EDITION HINKLE TEST BANKC. Respiratory alkalosis and metabolic acidosisD. Respiratory acidosis and metabolic acidosisANS: DRationale: Clients can simultaneously experience two or more independent acid–base disorders. Thisclient has a pH value below normal, a PCO2 value above 45 mm HG, and a HCO3– value of less than22 mEq/L, which is indicative of both respiratory acidosis and metabolic acidosis.PTS: 1 REF: p. 262NAT: Client Needs: Physiological Integrity: Physiological AdaptationTOP: Chapter 10: Principles of Fluid and ElectrolytesKEY: Integrated Process: Nursing ProcessBLM: Cognitive Level: AnalyzeNOT: Multiple ChoiceMULTIPLE RESPONSE36. A client with hypokalemia is to receive intravenous (IV) potassium replacement. Which action shouldthe nurse take when administering potassium intravenously? Select all that apply.A. Administer potassium by IV push.B. Assess blood urea nitrogen (BUN) and serum creatinine prior to potassium administration.C. Monitor complete blood count during potassium infusion.D. Follow the facility policy for infusion of potassium.E. Report a reduced urinary output to the health care provider.ANS: B, D, ERationale: Potassium should be administered by an infusion pump and should never be given by IVpush to avoid rapid replacement. Because potassium is excreted by the kidneys, BUN, serumcreatinine, and urinary output should be assessed prior to and during administration of IV potassium.Abnormal laboratory results or decreased or absent urinary output should be reported to the health careprovider. Because potassium administration does not affect blood cells, the complete blood count doesnot need to be monitored during administration of potassium. The nurse should check facility policyon the administration of IV potassium to ensure safe care.PTS: 1 REF: p. 245NAT: Client Needs: Physiological Integrity: Reduction of Risk PotentialTOP: Chapter 10: Principles of Fluid and ElectrolytesKEY: Integrated Process: Nursing ProcessBLM: Cognitive Level: ApplyNOT: Multiple Response37. A gerontologic nurse is teaching students about the high incidence and prevalence of dehydration inolder adults. Which factors contribute to this phenomenon? Select all that apply.A. Decreased kidney massB. Increased conservation of sodiumC. Increased total body waterD. Decreased renal blood flowE. Decreased excretion of potassiumANS: A, D, ERationale: Dehydration in older adults is common as a result of decreased kidney mass, decreasedglomerular filtration rate, decreased renal blood flow, decreased ability to concentrate urine, inabilityto conserve sodium, decreased excretion of potassium, and a decrease of total body water.PTS: 1 REF: p. 233 NAT: Client Needs: Health Promotion and MaintenanceTOP: Chapter 10: Principles of Fluid and ElectrolytesC L I C K H E R E T O D O W N L O A D C O M P L E T E T E S T B A N K S
BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-SURGICAL NURSING 15TH EDITION HINKLE TEST BANKKEY: Integrated Process: Nursing ProcessNOT: Multiple ResponseBLM: Cognitive Level: Apply38. The nurse is providing discharge education to a client who had hypophosphatemia while in thehospital. The client has a diet prescribed that is high in phosphate. Which foods should the nurse teachthis client to include in the diet? Select all that apply.A. MilkB. BeefC. PotatoesD. Green vegetablesE. LiverANS: A, B, ERationale: If the client experiences mild hypophosphatemia, foods rich in phosphorus, such as milkand milk products, meats, and beans, should be encouraged. Potatoes and green leafy vegetables arenot rich in phosphorus.PTS: 1 REF: p. 241NAT: Client Needs: Physiological Integrity: Basic Care and ComfortTOP: Chapter 10: Principles of Fluid and ElectrolytesKEY: Integrated Process: Teaching/LearningBLM: Cognitive Level: ApplyNOT: Multiple ResponseC L I C K H E R E T O D O W N L O A D C O M P L E T E T E S T B A N K S
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