NCLEX-RN Fluids, Lytes & Nutrition Flashcards

Complete the statement regarding fluid tonicity and movement:

What is the primary safety risk associated with administering hypotonic fluids (e.g., 0.45% NaCl)?

A client with severe hyponatremia is prescribed 3% Sodium Chloride. Which nursing assessment is the priority to monitor for complications?

Select the ECG changes associated with potassium imbalances:

What is the hallmark ECG change indicating hyperkalemia?

A client has a potassium level of 7.2 mEq/L with ECG changes. Which medication combination should the nurse administer first to prevent dysrhythmias and shift potassium?

Describe how to assess for Chvostek's sign and what a positive result indicates.

Complete the pathophysiology of respiratory acidosis:

Which client is at the highest risk for developing metabolic acidosis?

What is a common cause of metabolic alkalosis related to gastric loss?

Why is strict blood glucose monitoring required for a client on Total Parenteral Nutrition (TPN), even if they are not diabetic?

A nurse receives a prescription to start TPN (Total Parenteral Nutrition). The client currently has only a peripheral IV line. What is the appropriate nursing action?

When administering continuous enteral feedings, how often should gastric residual volume (GRV) typically be checked?

Name 3 items permitted on a clear liquid diet.

A client is hyperventilating due to an acute anxiety attack. Which arterial blood gas (ABG) imbalance is this client most likely experiencing?

Place the steps of ABG interpretation in the correct logical order.

A client is 12 hours post-thyroidectomy and reports tingling around the mouth. Which PRN medication should the nurse prepare to administer?

What is the classic rhyme/mnemonic for the signs and symptoms of hypercalcemia?

A client with heart failure taking digoxin and furosemide has a magnesium level of 1.0 mg/dL. What is the nurse's primary concern?

List three cardiovascular or integumentary signs of fluid volume deficit (dehydration).

Contrast the signs of fluid volume imbalances:

What is the most serious neurological complication of severe hyponatremia?

The TPN bag is empty, and the new bag has not arrived from the pharmacy. What should the nurse hang immediately to prevent a complication?

Select the correct parameters for preventing aspiration during enteral feeding:

Name 3 foods that are high in potassium.

A client prescribed warfarin asks about dietary restrictions. Which food group should be consumed in consistent amounts rather than avoided or increased suddenly?