a 73 year old man comes into the emergency department ed by ambulance after slipping on a small carpet in his home the patient fell on his hip with a
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Nursing Elites

ATI RN

ATI Fluid Electrolyte and Acid-Base Regulation

1. . A 73-year-old man comes into the emergency department (ED) by ambulance after slipping on a small carpet in his home. The patient fell on his hip with a resultant fracture. He is alert and oriented; his pupils are equal and reactive to light and accommodation. His heart rate is elevated, he is anxious and thirsty, a Foley catheter is placed, and 40 mL of urine is present. What is the nurses most likely explanation for the low urine output?

Correct answer: The man is having a sympathetic reaction, which has stimulated the reninangiotensinaldosterone system that results in diminished urine output.

Rationale:

2. A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC). Which statement should the nurse include in this clients teaching?

Correct answer: avoid carrying your grandchild with the arm that has the central catheter.

Rationale:

3. A nurse is assessing a client who has an electrolyte imbalance related to renal failure. For which potential complications of this electrolyte imbalance should the nurse assess? (Select all that do mot apply.)

Correct answer: Slow, shallow respirations

Rationale:

4. . A medical nurse educator is reviewing a patients recent episode of metabolic acidosis with members of the nursing staff. What should the educator describe about the role of the kidneys in metabolic acidosis?

Correct answer: The kidneys excrete hydrogen ions and conserve bicarbonate ions to help restore balance

Rationale:

5. A nurse assesses a client who has a radial artery catheter. Which assessment should the nurse complete first?

Correct answer: . Presence of an ulnar pulse

Rationale:

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