Study 7 Fluid and Electrolyte Nursing Practice Questions with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
After a prescribed isotonic bolus for poor perfusion, what should the nurse do?
Assess and escalate promptly, administer the prescribed bolus, and reassess vital signs, perfusion, respiratory status, and relevant laboratory results afterward.
Is D5W suitable for rapidly restoring circulating volume?
No. D5W is not appropriate for rapid intravascular volume resuscitation.
What is the nursing priority when substantial diarrhea continues during maintenance IV fluids?
Measure and document intake and losses, assess fluid status and vital signs, and report the continuing losses for review of the plan.
What should be checked before administering prescribed potassium replacement?
Verify the order and route, and review renal function plus the latest potassium and magnesium results; monitor for symptoms or ECG concerns as indicated.
What are the immediate nursing priorities for severe hyponatremia with confusion and seizure?
Initiate emergency response and seizure-safety measures, support airway and breathing, and promptly notify the responsible clinical team.
What is the priority for high potassium with peaked T waves?
Treat it as an emergency: promptly escalate care and maintain cardiac monitoring as directed. Concerning ECG findings or an unwell patient require urgent action even if sample error is possible.
What can new shortness of breath, crackles, and increasing edema indicate during IV therapy?
New shortness of breath, lung crackles, and increasing peripheral edema may indicate fluid overload, including pulmonary edema.
Which type of IV fluid is commonly used for volume resuscitation?
Isotonic crystalloids, such as 0.9% sodium chloride or a balanced crystalloid, are commonly used for prescribed volume resuscitation; choice depends on the clinical situation.
Why may maintenance IV fluid be insufficient during ongoing abnormal losses?
Maintenance fluid may not replace an existing deficit or continuing abnormal losses; replacement needs should be considered separately and reviewed against clinical findings and laboratory results.
Which route is generally preferred for potassium replacement when appropriate and tolerated?
Oral potassium replacement is generally preferred when appropriate and tolerated.
What is a critical safety rule for potassium chloride administration?
Never administer potassium chloride by IV push; errors can cause dangerous arrhythmias or cardiac arrest.
What safeguards apply when prescribed potassium is given intravenously?
Use the approved premixed preparation, an infusion pump, and the monitoring required by local policy.
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A medium-difficulty quiz on setting measurable patient goals and selecting, implementing, and evaluating interventions that address the priority problem.
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