Textbook of Medical-Surgical Nursing

BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-SURGICAL NURSING 15TH EDITION HINKLE TEST BANK
Chapter 10: Fluid and Electrolytes
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
MULTIPLE CHOICE
1. The nurse is caring for a client who has a diagnosis of syndrome of inappropriate antidiuretic hormone
secretion. The plan of care includes assessment of specific gravity every four hours. The results of this
test will allow the nurse to assess which aspect of the client's health?
A. Nutritional status
B. Potassium balance
C. Calcium balance
D. Fluid volume status
ANS: D
Rationale: Specific gravity measures the density of urine compared with water and can assess the
ability of the kidneys to excrete or conserve water. Therefore, specific gravity will detect if the client
has a fluid volume deficit or fluid volume excess. Nutrition, potassium, and calcium levels are not
directly indicated.
PTS: 1 REF: p. 230
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 10: Principles of Fluid and Electrolytes
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
NOT: Multiple Choice
2. The nurse is caring for a client admitted with a diagnosis of acute kidney injury. When reviewing the
client's most recent laboratory reports, the nurse notes that the client's magnesium levels are high. The
nurse should prioritize assessment for what health problem?
A. Diminished deep tendon reflexes
B. Tachycardia
C. Cool, clammy skin
D. Acute flank pain
ANS: A
Rationale: To gauge a client's magnesium status, the nurse should check deep tendon reflexes. If the
reflex is absent, this may indicate high serum magnesium. Tachycardia, flank pain, and cool, clammy
skin are not typically associated with hypermagnesemia.
PTS: 1 REF: p. 254
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 10: Principles of Fluid and Electrolytes
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply
NOT: Multiple Choice
3. The nurse is working on a burn unit and an acutely ill client is exhibiting signs and symptoms of third
spacing. Based on this change in status, the nurse should expect the client to exhibit signs and
symptoms of which imbalance?
A. Metabolic alkalosis
B. Hypermagnesemia
C. Hypercalcemia
D. Hypovolemia
ANS: D
C 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