Author Question: The nurse is administering intravenous fluids to a patient who is dehydrated. On the second day of ... (Read 26 times)

Ebrown · **on:** Jul 23, 2018

The nurse is administering intravenous fluids to a patient who is dehydrated. On the second day of care, the patient's weight is increased by 2.25 pounds. The nurse would expect that the patient's fluid intake has

a. equaled urine output.
b. exceeded urine output by 1 L.
c. exceeded urine output by 2.5 L.
d. exceeded urine output by 3 L.

Question 2

The nurse is caring for a patient whose serum sodium level is 140 mEq/L and serum potassium level is 5.4 mEq/L. The nurse will contact the patient's provider to discuss an order for

a. a low-potassium diet.
b. intravenous sodium bicarbonate.
c. Kayexalate and sorbitol.
d. salt substitutes.

ryrychapman11 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
A weight gain of 1 kg, or 2.2 to 2.5 lb, is equivalent to 1 L of fluid.

Answer to Question 2

ANS: A
Mild hyperkalemia may be treated with dietary restriction of potassium-rich foods. The patient's sodium level is normal, so sodium bicarbonate is not indicated. Kayexalate is used for severe hyperkalemia. Salt substitutes contain potassium and would only compound the hyperkalemia.