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A client with a history of heart failure has been carefully rehydrated with normal saline (0.9%) for isotonic dehydration related to excessive diuresis. Which of the following statements made by the client indicates that the nurse’s discharge teaching has been effective?  

A client arrives in the Emergency Department after having been successfully resuscitated following cardiac arrest. The client continues to need assistance with his breathing and is now being manually bagged with oxygen. His heart monitor indicates an irregular rhythm, and he is barely responsive to painful stimuli. The acid-base imbalance of [Blank-1] [Blank-2] is most likely to be occurring?  _______ _______

The nurse is caring for a client with arterial blood gas results of:  pH 7.30, pCO2 48, HCO3 35, pO2 78. Which of the following questions will the nurse ask the client in order to help determine an etiology for this arterial blood gas result?(Normal value ranges: pH 7.35-7.45, HCO3 21-28 mEq/L, pCO2 35-45 mm Hg, PaO2 80-100 mm Hg)) 

The nurse is caring for a group of clients. The nurse will identify which client to be at the highest risk for developing hyperkalemia?

Which of the following assessments made by the nurse of a client with suspected fluid volume excess should be reported promptly to the health care provider?

A client with hypernatremia is prescribed to have 2000 ml of 0.9% normal saline over the next 24 hours. What is the flow rate if the IV is to be infused on an infusion pump?

The nurse receives an order to change a client’s IV fluids from D5 ½ NS with 40 mEq KCl/L to D5NS with 20 mEq KCL/L. Which serum laboratory values on this same client best support the rationale for this IV order change?(Normal value range: sodium 136-145 mEq/L, potassium 3.5-5.0 mEq/L)

The nurse is administering IV potassium chloride (KCL) 40 mEq, ordered for treatment of a client with a serum potassium level of 3.0 mEq/L. What is the principle of potassium administration that is important for the nurse to implement?

The nurse is reviewing admission lab results for a client. The client’s electrolyte panel results show a serum sodium level of 122 mEq/L (136-145 mEq/L). While assessing the client, which symptoms will the nurse expect to find related to the sodium level?

A client has been on mechanical ventilation for several days. The client is at risk for the development of respiratory alkalosis. Which arterial blood gas will the nurse identify as indicative of the development of this complication? (Normal value ranges: pH 7.35-7.45, HCO3 21-28 mEq/L, pCO2 35-45 mm Hg)