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QUIZ ELECTROLYTE IMBALANCES

MJCPiduca, RN, MAN College of Nursing University of the Cordilleras

Test I. Multiple Choice. Direction: You are to select the one BEST answer for each question.

Multiple Choice
1. A nurse caring for a patient with late stage of salicylate poisoning who is experiencing metabolic acidosis, reviews the result of the patients blood chemistry profile. The nurse anticipates that which laboratory value is related to the patient acid-base disturbance? a. b. c. d. Sodium: 145 meg/L Magnesium: 2.0 meg/L Potassium: 5.2 meg/L Phosphorus : 2.3 meg/L

Multiple Choice
2. A patient with aldosteronism is being treated with Spironalactone (Aldactone ). Which of the ff indicates to the nurse that the medication is effective?
a. A decrease in sodium excretion b. A increase in plasma potassium c. A decrease in body metabolism

d. A increase in blood pressure

Multiple Choice
3. A client is due for a dose of Lasix. The nurse would temporarily withhold the dose and notify the physician if which of the ff lab results was noted ?
a. b. c. d. Na : 137 meq/L K : 2.9 meq/L Mg : 2.6 mg/dl Chloride : 106 meq/L

Multiple Choice
4. A nurse provides dietary instructions to the patient receiving aldactone. Which food item would the nurse instruct the client to avoid while taking this medication? a. b. c. d. Crackers Shrimp Bananas Popcorn

Multiple Choice
5. A nurse is conducting dietary teaching with a patient who is hypocalcemic. The nurse encourages the patient to increase intake of which of the ff foods?
a. b. c. d. Apples Chiken Breast Cheese Cooked Pasta

Multiple Choice
6. A patient is diagnosed with hyperphosphatemia. The nurse encourages the client to limit intake of which item that will aggravate the condition? a. Banana b. Grapes c. Coffee d. Carbonated Beverages

Multiple Choice
7. A patient has just been diagnosed with acute renal failure. The laboratory calls the nurse to report a serum potassium level of 6.1 mEq/L on the client.
a. b. c. d. checks the sodium level encourages an extra 500ml of fluid intake teach the client about foods low in K calls the physician

Multiple Choice
8. A patient who has been bed ridden for 2 weeks, has the following lab values: pH 7.37, PaO2: 90, PCO2 40, HCO3 25, With hypoalbuminemia and hypocalcemia. Which of the following requires priority?
a. b. c. d. Offer foods rich in albumin Provides ROM exercises Give patient 3 servings of milk a day Change patients position every 2 hours.

Multiple Choice
9. This is the main regulator of sodium.
a. b. c. d. Pancreas Heart Kidney Lungs

Multiple Choice
10. A nurse reviews the serum laboratory results for a patient taking Diuril. The nurse specifically monitors for which of the ff most frequent medication side effect on a regular basis?
a. b. c. d. Hyperphosphatemia Hypocalcemia Hypernatremia Hypokalemia