Acid-Base

Which statement is true regarding the administration of intravenous potassium?

Which is an example of hypertonic intravenous (IV) fluid?

The patient presents to the emergency department (ED) and states, “I don’t know what happened! I was walking and ran into a door with my right shoulder. I closed my right eye and my vision was normal, but when I closed my left eye, I couldn’t see anything at all!” The patient’s assessment is otherwise normal. The nurse reports this to the provider immediately for assessment. Which question is most important for the nurse to ask the patient while waiting for the provider to write orders for treatment?

The nurse is evaluating the arterial blood gas results of the patient on hospice with the following respiratory pattern: The patient’s PaCO₂ is 62 mm Hg, which is 20 mm Hg higher than the previous ABG. The nurse understands the patient’s blood gas was drawn at which period in the patient’s respiratory cycle?

Which is the normal range for serum potassium levels in the blood?

Which represents the normal range for serum chloride levels in the blood?

Which represents the normal range for serum calcium levels in the blood?

Which meal selection is appropriate for this patient? Review the patient’s chart to make a selection.

The nurse has received an order to initiate nasogastric tube feedings for the patient with long-standing anorexia. After the tube feeding is initiated, the nurse is vigilant for which electrocardiogram changes which may indicate the patient is experiencing life-threatening complications of tube feeding? Select all that apply.

Which patient does the nurse advocate to be transferred to the intensive care unit?

The nurse is reviewing the arterial blood gases of 4 patients. The patient with which arterial blood gas result should be assessed first?

The nurse receives a set of orders for a patient. After reviewing the patient’s chart, the nurse clarifies which orders? Review the patient’s chart then select all that apply.

The patient who underwent a partial thyroidectomy 1 day ago complains of tingling in the lips and tongue. Upon assessment, the nurse notes increased deep tendon reflexes. Which order does the nurse question for this patient?

The nurse is planning care for a patient who sustained third degree burns over 42% of the body during an industrial accident the previous day. The patient is intubated, sedated, and chemically paralyzed. Which patient problem is most important for the nurse to address?

Several tenants from an apartment building are brought to the emergency department with concern for carbon monoxide poisoning. One patient presents with reddish-purple skin, a blood pressure of 94/48 mmHg, heart rate of 118 bpm, and altered consciousness (arouses when his name is shouted). The nurse anticipates testing will reveal which carbon monoxide level?

The nurse places a call to the provider that the 74-year-old patient’s potassium level is 7.1 mEq/dL. The nurse is prepared to answer which questions from the provider? Select all that apply.  

The 21-year-old patient with a body mass index of 10.1 undergoes placement of a peripherally inserted central catheter (PICC) at 1000 and total parenteral nutrition (TPN) is initiated at 1200. At 1600, 160 mL have infused and the patient is noted to be breathing shallowly, there is blood oozing from the PICC insertion site, and the patient is exhibiting confusion. Which action does the nurse perform first? 

The nurse assesses the patient being treated for bipolar disorder for which signs of toxicity?  

The patient being treated for bipolar disorder is found to be lethargic, confused, and obtunded. It is determined that the morning dose of lithium was not taken. Which order does the nurse anticipate first?  

The 24-year-old otherwise healthy patient with bipolar disorder is found unconscious and brought to the emergency department. The patient is mildly febrile, significantly tachycardic, tachypneic, and hypotensive, with poor skin turgor and 5 second capillary refill. The patient’s EKG is notable for inverted T waves and sinus tachycardia. Which orders does the nurse anticipate for this patient? Select all that apply.