ATI RN
ATI Fluid Electrolyte and Acid-Base Regulation
1. A patient with a longstanding diagnosis of generalized anxiety disorder presents to the emergency room. The triage nurse notes upon assessment that the patient is hyperventilating. The triage nurse is aware that hyperventilation is the most common cause
- A. Respiratory acidosis
- B. Respiratory alkalosis
- C. Increased PaCO2
- D. CNS disturbances
Correct answer: B
Rationale:
2. .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:
3. Place a washcloth between the skin and tourniquet
- A. Provide a bed bath instead of letting the client take a shower
- B. Use sterile technique when changing the dressing.
- C. Disconnect the intravenous fluid tubing prior to the clients bath.
- D. Use a plastic bag to cover the extremity with the device
Correct answer: D
Rationale:
4. After teaching a client who was malnourished and is being discharged, a nurse assesses the clients understanding. Which statement indicates the client correctly understood teaching to decrease risk for the development of metabolic acidosis?
- A. I will drink at least three glasses of milk each day.
- B. . I will eat three well-balanced meals and a snack daily.
- C. . I will not take pain medication and antihistamines together.
- D. I will avoid salting my food when cooking or during meals.
Correct answer: A
Rationale:
5. A patient's most recent laboratory results show a slight decrease in potassium. The physician has opted to forego drug therapy but has suggested increasing the patient's dietary intake of potassium. Which of the following would be a good source of potassium?
- A. Apples
- B. Asparagus
- C. Carrots
- D. Bananas
Correct answer: D
Rationale: Bananas are an excellent source of potassium. They are a popular choice for increasing dietary potassium intake due to their rich potassium content. Apples, asparagus, and carrots do not contain as high levels of potassium as bananas. While these fruits and vegetables are nutritious, they are not as effective in addressing a potassium deficiency as bananas.
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