A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?

Hyperglycemia

Hypovolemia

Hypercalcemia

Hypokalemia

Answer and Explanation

The Correct Answer is A

Choice A reason: An IV infusion of dextrose 10% in water can cause hyperglycemia, which is an elevated blood sugar
level.

Choice B reason: Hypovolemia, or decreased blood volume, is not a typical adverse effect of dextrose infusion.

Choice C reason: Hypercalcemia, or high calcium levels in the blood, is not associated with dextrose infusion.

Choice D reason: While dextrose infusion can affect electrolyte balance, hypokalemia, or low potassium levels, is not
the primary concern with dextrose infusion.

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Correct Answer is C

Explanation

Choice A reason: Metabolic Acidosis typically results from conditions that increase acid production or decrease acid excretion, not from vomiting.

Choice B reason: Respiratory Acidosis is caused by hypoventilation leading to an accumulation of carbon dioxide, which is not directly related to vomiting.

Choice C reason: Metabolic Alkalosis can occur due to the loss of stomach acids through prolonged vomiting, leading to an excess of bicarbonate in the body fluids.

Choice D reason: Respiratory Alkalosis is usually caused by hyperventilation, not by vomiting.

A. Evaluation B. Data Collection C. Re-collection of Data D. Implementation

Correct Answer is D

Explanation

Choice A reason: Evaluation is the final step of the nursing process, where the nurse assesses the client's response to the nursing interventions.

Choice B reason: Data Collection is the first step of the nursing process, where the nurse gathers information about the client's health status.

Choice C reason: Re-collection of Data may be necessary if there are changes in the client's condition, but it is not the immediate next step after planning.

Choice D reason: Implementation is the correct answer because it is the step where the nurse puts the care plan into action, following the planning step.

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A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has nausea and is vomiting. The nurse should identify that the client is at risk for which of the following acid-base imbalances?

Correct Answer is C

Explanation

After completing the planning step of the nursing process for a client who has an acid-base imbalance, which of the following steps should the nurse take next?

Correct Answer is D

Explanation

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