ati fluid electrolyte and acid base regulation ATI Fluid Electrolyte and Acid-Base Regulation - Nursing Elites
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Nursing Elites

ATI RN

ATI Fluid Electrolyte and Acid-Base Regulation

1. While assessing clients on a medical-surgical unit, which client is at risk for hypokalemia?

Correct answer: A

Rationale: Continuous nasogastric suctioning can lead to hypokalemia due to the loss of gastric contents rich in potassium. Therefore, a client with pancreatitis who has continuous nasogastric suctioning is at risk for hypokalemia. Option B is incorrect because ACE inhibitors may lead to hyperkalemia, not hypokalemia. Option C is incorrect as receiving packed red blood cells can lead to hyperkalemia due to the potassium content in the blood product. Option D is incorrect because a serum pH level of 7.33 indicates acidosis, which is not directly associated with hypokalemia.

2. The nurse is preparing to insert a peripheral IV catheter into a patient who will require fluids and IV antibiotics. How should the nurse always start the process of insertion?

Correct answer: C

Rationale:

3. You are working on a burns unit, and one of your acutely ill patients is exhibiting signs and symptoms of third spacing. Based on this change in status, you should expect the patient to exhibit signs and symptoms of what imbalance?

Correct answer: D

Rationale: Third spacing refers to the loss of fluid from the intravascular space into the interstitial or third space, leading to a decrease in circulating blood volume. This condition results in hypovolemia, which is characterized by decreased blood volume. Metabolic alkalosis, hypermagnesemia, and hypercalcemia are not directly associated with third spacing. Metabolic alkalosis is an acid-base imbalance, hypermagnesemia is an excess of magnesium in the blood, and hypercalcemia is an excess of calcium in the blood, none of which are the primary concerns in cases of third spacing.

4. A nurse is caring for a client who has the following arterial blood values: pH 7.12, PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3 22 mEq/L. Which clinical situation should the nurse correlate with these values?

Correct answer: A

Rationale:

5. A nurse teaches a client who is prescribed a central vascular access device. Which statement should the nurse include in this clients teaching?

Correct answer: C

Rationale:

Similar Questions

A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure. The clients arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3 22 mEq/L. Which action should the nurse take first?
A nurse is assessing a client with hypokalemia and notes that the client's handgrip strength has diminished since the previous assessment 1 hour ago. Which action should the nurse take first?
The nurse is providing care for a patient with chronic obstructive pulmonary disease. When describing the process of respiration the nurse explains how oxygen and carbon dioxide are exchanged between the pulmonary capillaries and the alveoli. The nurse is describing what process?
The physician has ordered a peripheral IV to be inserted before the patient goes for computed tomography. What should the nurse do when selecting a site on the hand or arm for insertion of an IV catheter?
The nurse is assessing the patient for the presence of a Chvosteks sign. What electrolyte imbalance would a positive Chvosteks sign indicate?
ATI TEAS 7 Exam Overview

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