Nursing Interventions
A patient receiving IV potassium should be monitored for what priority complication?
What is cardiac dysrhythmias.
Which hormone imbalance is associated with tetany after thyroid surgery?
What is low parathyroid hormone.
Which IV fluid is appropriate for a patient with acute blood loss and hypotension?
What is normal saline.
Which manifestation supports hypokalemia?
What are muscle cramps and generalized weakness.?
Which assessment finding best confirms that a patient’s hydration status is improving after IV fluids for dehydration.
What is moist mucous membranes.?
Which intervention is appropriate for a patient with fluid volume excess?
Maintain strict intake and output.
A patient with suspected SIADH is likely to present with which finding?
What is low serum sodium.
Which fluid is hypotonic?
What is 0.45 percent sodium chloride.
Which finding indicates hyperkalemia?
What is tall peaked T waves on ECG.?
Which patient situation requires the nurse to notify the provider immediately?
What is urine specific gravity of 1.045 with poor oral intake?
A patient on a low sodium diet asks for meal examples. Which option is acceptable?
What is fresh poultry with vegetables.?
Which action is correct for a patient with SIADH?
What is restrict fluids as ordered.
A patient with cerebral edema should avoid which IV fluid?
What is hypotonic solutions.
A patient’s lab result shows sodium 120 mEq/L. What is the most serious risk?
What is Seizures?
Which patient is at greatest risk for rapid fluid volume loss?
What is a patient with persistent vomiting and tachycardia.
Which nursing action is essential when giving IV Lasix?
What is evaluate potassium level before administration?
Which diet should be recommended for a patient with chronic hypercalcemia?
What is increase fluid intake to help prevent renal stones.
A patient receiving D5 half normal saline becomes confused and restless. What is the nurse’s priority?
What is assess serum sodium levels
A patient with low calcium shows twitching during blood pressure cuff inflation. What is the priority action?
What is notify provider of possible tetany?
A patient receiving diuretics asks why the nurse monitors daily weights. What is the correct rationale?
What is It is the most accurate indicator of fluid changes.
A patient with a calcium level of 7.1 mg/dL is complaining of tingling around the mouth. What is the priority intervention?
What is prepare to administer IV calcium if ordered.?
A patient with hyperparathyroidism reports abdominal discomfort and constipation. What teaching is appropriate?
What is increase mobility and hydration.
A patient on continuous tube feeding develops high sodium levels. Which IV order is most appropriate?
What is D5W if ordered to correct free water loss.
A patient with potassium 6.8 mEq/L received regular insulin and dextrose. What complication must the nurse monitor?
What is Hypoglycemia?
The nurse notes crackles in a patient’s lower lungs and a weight gain of 4 lbs in two days. What priority intervention is expected?
What is administer an ordered IV diuretic.