Nurs 110: Perioperative and Fluid & Electrolytes

Which electrolyte is a major cation in body fluid?

A client is undergoing a perineal surgical procedure. The nurse should place the client in which position?

Which electrolyte is a major anion in body fluid?

Client w/history of alcoholism is sched for urgent surg. He asks why everyone is asking about it. What’s best response?

Hypothermia may occur as a result of

How do the LUNGS affect F&E homeostasis? (Select all that apply)

The RN is educating a client sched for surg. Client takes aspirin daily. What education is appropriate by the RN?

IV fluids are organized into 3 categories: Isotonic, hypotonic & hypertonic

The parathyroid gland regulates ______ and phosphate balance by means of the parathyroid hormone (PTH).

In the immediate post-op period, vital signs are taken at least every

Plasma bicarbonate has an inverse relationship with chloride

What is the nursing management for hypernatremia?

Potassium imbalances will manifest as musculoskeletal (heart)

Pt is POD2 with large upper abd incision. Pt has decreased breath sounds, crackles, & mild cough. What does pt have?

What is the minimum kidney (urine) output rate?

What does osmosis measure?

Hyper/hypocalcemia is caused by:

A registered nurse who is responsible for coordinating and documenting client care in the OR is a

A nurse on the surgical team has been assigned the role of scrub nurse. What action by the scrub RN is appropriate?

Which perioperative stage requires frequent assessment, airway, vitals, wound, pain & nausea assessment every 15 min?

Which clinical characteristic is associated with type 1 diabetes?

What is the nursing management for hypocalcemia?

The nurse is caring for a client with severe diarrhea. The RN recognizes that the client is at risk for developing ...

Period of time that begins with admission to the PACU and ends after follow up in clinical setting or home

Hyper/hypomagnesemia is caused by:

What are some signs and symptoms for hypercalcemia select all that apply)

An example of a curative surgical procedure is

What are some signs and symptoms for hypokalemia (select all that apply)

Which solution is hypotonic?

70y/o pt is in pre-op for a liver resection scheduled for 6hrs. What should guide the RN’s assessment?

What is the nursing management for hyponatremia?

Which is the most common cause of symptomatic hypomagnesemia?

Surgical wound healing occurs in

A client with a skull fracture after falling from a ladder requires surgery. Patient is to be transported to OR...

What are some signs and symptoms for hypernatremia (select all that apply)

A patient does not require a patent airway and spontaneous respirations before being transferred from the PACU.

Headache may be an after-effect of spinal anesthesia.

Vitamin ____ therapy is instituted to increase calcium from the GI tract

Which is the most deadly?

The RN has administered preanesthetic medication. What action should the nurse take next?

Anesthesia is the state of narcosis, analgesia, relaxation and reflex loss

A term used to describe a partial or complete separation of wound edges is

What are some signs and symptoms for hyponatremia (select all that apply)

What is an example of filtration to regulate body fluids?

If a patient has 20L interstitial fluid, are they hypo or hypervolemic?

How much fluid is lost daily through the GI tract (stool)?

A client asks why a drain is in place to pull fluid from the surgical wound. What is the best response by the RN?

The RN is is caring for a patient with a (PICC) line placed in the right arm. After placement, the nurse should...

What is the nursing management for hypomagnesemia?

Which is an insensible mechanism of fluid loss?

A recently extubated post-op client starts to gag and make vomiting sounds. What action should the nurse perform first?

You’re a post-op RN admitting a patient from the PACU. What is the first assessment you will make on this patient?

What is the nursing management for hyperkalemia?

A 65 year old patient is being treated for hypervolemia. What clinical manifestations would be expected?

The RN is preparing an elderly pt for surg under general. What complications should the nurse most closely monitor?

What does Urine specific gravity measure?

An RN caring for post-op pt. Who had spinal anesthesia complains of headache. What should the RN do?

How do the Adrenal glands affect F&E homeostasis?

The electrolyte lab values are tested on blood plasma

What is the highest priority nursing intervention for a client in the immediate post-op phase?

The normal serum value for potassium is

Masks are worn at all times in the restricted zone of the OR

The natural tendency of a substance to move from higher concentration to one of lower concentration is

78 year old client is having surg to repair a right hip fracture. What RN action is appropriate during intra-op phase?

Early signs of hypervolemia include

Who are the special populations more susceptible to surgeries? (Select all that apply).

In which position would a client undergoing a lumbar puncture be placed?

The most common endocrinopathy for surgical patients is

This is the equation to calculate drops per min: Rate (mL/hr) x drip factor / time in minutes

It’s important for RN to assist a post surgical client to sit up and turn the head to one side when vomiting in order to

What is an IV catheter complication? (Select all that apply)

What “moves” in osmosis?

A patient with hypovolemia is likely to have a weak, rapid pulse & hypotension.

Which action should not be allowed when wearing masks in the OR?

Which is the correct route to administer Potassium?

The RN has medicated a post-op client who reported nausea. Which med would the nurse document as having been given?

A decreased BUN = dehydrated

Baroreceptors respond to changes in BP

What are some signs and symptoms for hyperkalemia (select all that apply)

Extracellular water = ___% of body weight

Hyper/hypocalcemia is caused by:

Intracellular water = ___% of body weight

What “moves” in diffusion?

The calcium concentration in the blood is regulated by which mechanism?

Total body water = ____% of body weight

Clients diagnosed with hypervolemia should avoid sweet or dry food because

An RN on a trauma unit is initiating IV fluids. Normal saline is used for which of the following problems?

BUN measures

A nurse assesses a post-op client as having abd. organs protruding through the surg incision. Which term best describes?

General anesthesia = patients are NOT intubated and can breathe on their own.

What is the nursing management for hypokalemia?

A client with cancer is being treated. The RN notes the serum calcium is 12.3mg/dL. What should the RN suspect?

When entering a pt room, RN notices blood clots in the IV. What’s the most appropriate RN intervention?

What are causes of hypermagnesemia? (Select all that apply).

If a level is reported high in plasma, what does that mean for the cell?

A patient is diagnosed with SIADH. Which of the following disturbances should the RN be aware of related to this dx?

Client post-op day 3 after open abd wound and amputation of right lower leg. What’s the highest priority RN intervention

Hyper/Hyponatremia is caused by:

Which is an opioid analgesic?

The major reason for withholding food prior to surgery is