a nurse educator is reviewing peripheral iv insertion with a group of novice nurses how should these nurses be encouraged to deal with excess hair at

ATI RN

ATI Fluid Electrolyte and Acid-Base Regulation

1. A nurse educator is reviewing peripheral IV insertion with a group of novice nurses. How should these nurses be encouraged to deal with excess hair at the intended site?

A. Leave the hair intact
B. Shave the area.
C. Clip the hair in the area.
D. Remove the hair with a depilatory.

Correct answer: C

Rationale:

2. A nurse is caring for clients with electrolyte imbalances on a medical-surgical unit. Which clinical manifestations are correctly paired with the contributing electrolyte imbalance? (Select all that do not apply.)

A. Hypokalemia Flaccid paralysis with respiratory depression
B. Hyperphosphatemia Paresthesia with sensations of tingling and numbness
C. . Hyponatremia Decreased level of consciousness
D.

Correct answer: B

Rationale:

3. Which positive ion is most prevalent in intracellular fluid?

A. Calcium
B. Potassium
C. Sodium
D. Magnesium

Correct answer: B

Rationale: The correct answer is Potassium (K+). Potassium is the predominant cation found within cells, making it the most prevalent positive ion in intracellular fluid. Calcium, sodium, and magnesium are also essential ions in the body, but they are not as abundant in intracellular fluid. Calcium is vital for bone health and muscle function, sodium helps in maintaining fluid balance and nerve function, and magnesium is involved in numerous biochemical reactions.

4. A nurse is caring for a client who is experiencing moderate metabolic alkalosis. Which action should the nurse take?

A. Monitor daily hemoglobin and hematocrit values.
B. Administer furosemide (Lasix) intravenously.
C. Encourage the client to take deep breaths.
D. Teach the client fall prevention measures.

Correct answer: D

Rationale:

5. What fluid is found in spaces between the cells?

A. Intracellular fluid
B. Interstitial fluid
C. Plasma
D. Electrolyte

Correct answer: B

Rationale: The correct answer is B, Interstitial fluid. Interstitial fluid is the fluid that surrounds and occupies the spaces between cells, providing them with nutrients and removing waste. Choices A, C, and D are incorrect because intracellular fluid refers to fluid inside cells, plasma refers to the liquid component of blood, and electrolyte refers to substances that dissociate into ions in solution, affecting fluid balance but not specifically found in spaces between cells.