a nurse develops a plan of care for a client who has a history of hypocalcemia what interventions should the nurse include in this clients care plan s

ATI RN

ATI Fluid Electrolyte and Acid-Base Regulation

1. A nurse develops a plan of care for a client who has a history of hypocalcemia. What interventions should the nurse include in this clients care plan? (Select all that apply.)

A. Use a draw sheet to reposition the client in bed.
B. . Strain all urine output and assess for urinary stones.
C. Provide nonslip footwear for the client to use when out of bed.
D.

Correct answer: B

Rationale:

2. Which of the following is not considered an extracellular fluid?

A. Cerebrospinal fluid
B. The humors of the eye
C. Lymph
D. Cerebrospinal fluid and the humors of the eye

Correct answer: D

Rationale: The correct answer is D. Cerebrospinal fluid and the humors of the eye are not considered extracellular fluids. Extracellular fluids are fluids found outside the cells, such as interstitial fluid and lymph. Cerebrospinal fluid is found within the central nervous system, while the humors of the eye (aqueous humor and vitreous humor) are located within the eyeball, making them distinct from extracellular fluids.

3. .A nurse assesses a clients peripheral IV site, and notices edema and tenderness above the site. Which action should the nurse take next?

A. Apply cold compresses to the IV site.
B. Elevate the extremity on a pillow.
C. Flush the catheter with normal saline.
D. . Stop the infusion of intravenous fluids.

Correct answer: D

Rationale:

4. What is the main water-holding force in the blood capillaries?

A. Capillary blood pressure
B. Sodium in the blood plasma
C. Protein in the blood plasma
D. Chloride in the blood plasma

Correct answer: C

Rationale: The correct answer is C: Protein in the blood plasma. Plasma proteins, especially albumin, create oncotic pressure, which is the main force responsible for holding water within the blood capillaries. Capillary blood pressure (Choice A) is involved in pushing blood through the capillaries, while sodium and chloride in the blood plasma (Choices B and D) are electrolytes and do not play a significant role in the water-holding force within capillaries.