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NSG 452 -Pharmacology Quiz 7

NSG 452 -Pharmacology Quiz 7

NSG 452 -Pharmacology Quiz 7

Pharmacology Quiz 7

 

Name:______________________________________                                     Date:_____________________

 

  1. When assessing for dehydration, the nurse should look for:
    1. Headache and increased urinary output
    2. Weight gain and edema
    3. Hypertension and decreased urinary output
    4. Hypotension and dry mucous membranes

 

  1. Which of the following is not a function of the kidneys?
    1. Acid-base balance
    2. Secretion of renin
    3. Production of white blood cells
    4. Production of calcitriol

 

  1. You are caring for a patient with a disorder causing metabolic acidosis. This condition is being treated with intravenous sodium bicarbonate. Which laboratory value will you monitor for therapeutic effectiveness?
    1. Serum pH
    2. Red Blood Cell count
    3. Liver function
    4. Blood Urea Nitrogen

 

  1. The nurse is teaching a patient about a liquid potassium chloride supplement. Which statement, if made by the patient indicates further teaching is necessary?
    1. “I should avoid salt substitutes unless approved by my health care provider”
    2. “Liquid preparations should not be diluted with other fluids”
    3. “I should report signs of potassium deficit such as weakness and fatigue”
    4. “Persistent vomiting will result in significant losses in potassium”

 

  1. You are administering Dextran 40 (Gentgran 40) to a patient with multiple traumatic injuries following a motor vehicle accident. You know that which adverse effect of this medication may be fatal?
    1. Dehydration
    2. Increased urinary output
    3. Hypovolemic shock
    4. Bleeding

 

  1. Identify which of the following intravenous solutions are isotonic: (Select all that apply)
    1. Normal Saline (0.9% NaCl)
    2. 5% Dextrose in Normal Saline
    3. 5% Dextrose in 0.2% Normal Saline
    4. 5% Dextrose in Lactated Ringers
    5. Lactated Ringers
    6. 3% Sodium Chloride

 

  1. A patient recently started on diuretic therapy should be taught to:
    1. Take the medication at night
    2. Rise slowly from a sitting position
    3. Increase sodium intake
    4. Decrease fluid intake

 

  1. Which of the following nursing actions should be included in a care plan for a patient receiving a plasma volume expander? (Select all that apply)
    1. Document past history of gastroesophageal reflux disease
    2. Restrict dietary intake of food high in potassium
    3. Monitor blood pressure and pulse rate
    4. Measure urine output hourly
    5. Observe for signs related to potassium deficit

 

  1. The movement of potassium is mediated by the hormone insulin. True or False? _____________

 

  1. A healthy adult’s total body weight is approximately 80% water. True or False? ____________

 

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Bonus Question (0.5 points/correctly worded answer)

Provide 2 NANDA formulated nursing diagnoses that are potentially relevant for a patient receiving intravenous fluid and electrolyte replacement therapy:

1.

2.