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Chapter 24 Question 1 A patient with hypoxia is at risk for disruption of the sodium potassium pump. Which would the nurse expect if this occurs? 1. Decreased serum potassium 2. Cell death 3. Increase in the cells’ ability to use active transport 4. Decreased extracellular fluid Question 2 A patient is admitted with bleeding from the gastrointestinal tract. The nurse plans interventions to support the balance of which fluid volume compartment? 1. Transcellular 2. Intravascular 3. Interstitial 4. Intracellular Question 3 The nurse is planning the care of a patient in the intensive care unit. With regards to maintaining adequate fluid volume for this patient, the nurse realizes that interventions should be planned to reduce the risk of which condition? 1. Retention of potassium 2. Retention of sodium 3. Loss of calcium 4. Loss of magnesium Question 4 A patient in the intensive care unit has low blood pressure. If the patient’s baroreceptors are functioning appropriately, what will the nurse assess in this patient? 1. Reduced urine output 2. Weak hand grasps 3. Decreased level of consciousness 4. Peripheral edema Question 5 The nurse is reviewing laboratory results for a patient just admitted to the intensive care unit. The nurse would anticipate interventions to be necessary for which values? 1. Calcium 8.0 mg/dL 2. Potassium 3.0 mEq/L 3. Sodium 142 mEq/L 4. Phosphate 1.8 mEq/L 5. Magnesium 2.1 mEq/L Question 6 Which laboratory value would require that the nurse closely monitor a patient’s cardiac rhythm? 1. Chloride 94 mEq/L 2. Calcium 2.2 mmol/L 3. Potassium 3.3 mEq/L 4. Phosphate 3.0 mg/dL Question 7 The nurse notes that a patient’s serum albumin level is elevated. Which other lab result should the nurse review? 1. Potassium 2. Calcium 3. Sodium 4. Chloride Question 8 A patient’s potassium and calcium levels are below the normal range. The nurse should check for a decreased level of which other electrolyte? 1. Phosphorous 2. Sodium 3. Magnesium 4. Chloride Question 9 While assessing a high-acuity patient, the nurse learns the patient has a history of arthritis. Which question would provide the most information regarding potential impact on the patient’s fluid and electrolyte balance? 1. “How well are you able to take care of your daily needs?” 2. “How well do you sleep?” 3. “How often do you take nonsteroidal anti-inflammatory medications?” 4. “Does your arthritis affect mostly your hands or your feet and legs?” Question 10 A patient admitted to the intensive care unit has been taking high levels of magnesium supplements. The nurse would add which information to this patient’s plan of care? 1. Monitor closely for hypotension. 2. Monitor for sudden decrease in respiratory rate. 3. Monitor for bradycardia. 4. Monitor for hyperthermia.