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QUIZ ELECTROLYTE IMBALANCES
MJCPiduca, RN, MAN
College of NursingUniversity of the Cordilleras
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Test I. Multiple Choice. Direction: You are to
select the one BEST answer for each question.
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Multiple Choice
1. A nurse caring for a patient with late stage of
salicylatepoisoning who is experiencing metabolic acidosis,reviews
the result of the patients blood chemistryprofile. The nurse
anticipates that which laboratory
value is related to the patient acid-base disturbance?
a. Sodium: 145 meg/L
b. Magnesium: 2.0 meg/Lc. Potassium: 5.2 meg/L
d. Phosphorus : 2.3 meg/L
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Multiple Choice
2. A patient with aldosteronism is being treatedwith
Spironalactone (Aldactone ). Which ofthe ff indicates to the nurse
that the
medication is effective?
a. A decrease in sodium excretion
b. A increase in plasma potassium
c. A decrease in body metabolism
d. A increase in blood pressure
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Multiple Choice
3. A client is due for a dose of Lasix. The nursewould
temporarily withhold the dose and
notifythe physician if which of the ff lab
results was noted ?
a. Na : 137 meq/L
b. K : 2.9 meq/Lc. Mg : 2.6 mg/dl
d. Chloride : 106 meq/L
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Multiple Choice
4. A nurse provides dietary instructions to thepatient receiving
aldactone. Which food itemwould the nurse instruct the client to
avoid while
taking this medication?
a. Crackers
b. Shrimp
c. Bananas
d. Popcorn
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Multiple Choice
5. A nurse is conducting dietary teaching with apatient who is
hypocalcemic. The nurseencourages the patient to increase intake
of
which of the ff foods?
a. Apples
b. Chiken Breastc. Cheese
d. Cooked Pasta
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Multiple Choice
6. A patient is diagnosed with
hyperphosphatemia. The nurse encourages
the client to limit intake of which item that
will aggravate the condition?
a. Banana
b. Grapes
c. Coffee
d. Carbonated Beverages
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Multiple Choice
7. A patient has just been diagnosed with acuterenal failure.
The laboratory calls the nurse toreport a serum potassium level of
6.1 mEq/L
on the client.
a. checks the sodium level
b. encourages an extra 500ml of fluid intake
c. teach the client about foods low in K
d. calls the physician
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Multiple Choice
8. A patient who has been bed ridden for 2 weeks,has the
following lab values: pH 7.37, PaO2: 90,PCO2 40, HCO3 25, With
hypoalbuminemia and
hypocalcemia. Which of the following requirespriority?
a. Offer foods rich in albumin
b. Provides ROM exercises
c. Give patient 3 servings of milk a day
d. Change patients position every 2 hours.
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Multiple Choice
9. This is the main regulator of sodium.
a. Pancreasb. Heart
c. Kidney
d. Lungs
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Multiple Choice
10. A nurse reviews the serum laboratory results for
a patient taking Diuril. The nurse specifically
monitors for which of the ff most frequent
medication side effect on a regular basis?
a. Hyperphosphatemia
b. Hypocalcemiac. Hypernatremia
d. Hypokalemia
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