A patient with alkalosis can develop hyperkalemia.

True

False

Answer and Explanation

The Correct Answer is True

Choice A: True

The statement that a patient with alkalosis can develop hyperkalemia is generally incorrect. Alkalosis, which is a condition characterized by a higher-than-normal pH in the blood, typically leads to hypokalemia rather than hyperkalemia. This occurs because alkalosis causes potassium to shift from the extracellular fluid into the cells, reducing the plasma potassium concentration. Therefore, it is uncommon for alkalosis to result in hyperkalemia.

Choice B: False

The correct answer is that a patient with alkalosis is unlikely to develop hyperkalemia. Alkalosis usually causes a decrease in plasma potassium levels, leading to hypokalemia. This is due to the movement of potassium ions into the cells in exchange for hydrogen ions, which are moved out of the cells to help buffer the increased pH. Consequently, the plasma potassium concentration drops, making hyperkalemia an unlikely outcome in the presence of alkalosis.

Hyperkalemia (High Potassium): Symptoms & Treatment

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A: 3% Saline
3% Saline is a hypertonic solution, meaning it has a higher concentration of solutes compared to the blood plasma. It is typically used in critical care settings for specific conditions such as severe hyponatremia or cerebral edema. Administering 3% Saline to a patient with a fluid deficit who requires isotonic fluid replacement would not be appropriate because it could lead to cellular dehydration and other complications due to its high osmolarity.
Choice B: Saline 0.45%
Saline 0.45%, also known as half-normal saline, is a hypotonic solution. It has a lower concentration of solutes compared to blood plasma and is used to treat patients with hypernatremia or those who need to be rehydrated without adding too much sodium. However, it is not suitable for isotonic fluid replacement because it can cause cells to swell and potentially burst due to the influx of water into the cells.
Choice C: Saline 0.9%
Saline 0.9%, also known as normal saline, is an isotonic solution. It has the same concentration of solutes as blood plasma, making it ideal for fluid replacement in patients with a fluid deficit. Normal saline is commonly used to expand the extracellular fluid volume without causing significant shifts in fluid between compartments. This makes it the appropriate choice for isotonic fluid replacement.
Choice D: Dextrose 10%
Dextrose 10% is a hypertonic solution used primarily for providing calories in patients who need parenteral nutrition or for treating severe hypoglycemia. It is not suitable for isotonic fluid replacement because its high glucose content can lead to osmotic diuresis and fluid shifts that are not desirable in patients needing isotonic fluids.

A. Anesthetic agents and other drugs that were administered. B. The patient’s relevant health history. C. The name of the surgical procedure. D. Estimated blood loss during surgery.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A: Anesthetic agents and other drugs that were administered

This is a correct answer. Including information about the anesthetic agents and other drugs administered during surgery is crucial for the PACU nurse. This information helps in monitoring the patient’s recovery from anesthesia and managing any potential side effects or complications. Knowing the specific drugs used allows the PACU nurse to anticipate and address issues such as pain management, nausea, and allergic reactions.

Choice B: The patient’s relevant health history

This is another correct answer. The patient’s relevant health history provides essential context for the PACU nurse. It includes information about chronic conditions, allergies, previous surgeries, and any other factors that might affect the patient’s recovery. Understanding the patient’s health history helps the PACU nurse to tailor post-operative care to the patient’s specific needs and to be vigilant for any complications that might arise due to pre-existing conditions.

Choice C: The name of the surgical procedure

This is also a correct answer. Knowing the specific surgical procedure performed is vital for the PACU nurse. It helps in understanding the expected post-operative course, potential complications, and specific care requirements. For example, the care for a patient who underwent a cardiac surgery will differ significantly from the care for a patient who had an orthopedic procedure.

Choice D: Estimated blood loss during surgery

This is the final correct answer. Reporting the estimated blood loss during surgery is important for the PACU nurse to assess the patient’s hemodynamic status and to plan for any necessary interventions. Significant blood loss may require monitoring for signs of hypovolemia, administering fluids or blood products, and closely watching vital signs.

View Question and Answer

A patient with alkalosis can develop hyperkalemia.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which IV solution would the nurse anticipate administering to a patient with fluid deficit who requires isotonic fluid replacement?

Correct Answer is C

Explanation

The OR nurse gives an SBAR to the PACU nurse. This verbal report should include which four statements?

Correct Answer is ["A","B","C","D"]

Explanation

The following 4 questions pertain to this case study: Exhibits In PACU, many assessments and interventions are done simultaneously. However, the most critical, high-priority assessment is:

The essential core of nursing practice is to deliver holistic, patient-centered care. This includes assessment and evaluation, providing a variety of interventions, patient and caregiver teaching, and being a member of the interprofessional healthcare team.

Myelosuppression is one of the most common effects of chemotherapy. How would the nurse assess for this condition?

Select four principles of aseptic technique in the operating room from the list provided.

Infection prevention strategies include:

A patient who is just waking up after having hip replacement surgery is agitated and confused. Which action should the nurse take first?

Instructions: Use this scenario for the next 4 questions. Exhibits Indicate which assessment findings correlate with the nursing problem you identified. (Select all that apply)

The following 4 questions pertain to this case study: Exhibits Which task is appropriate for the nurse to delegate to experienced certified nurse assistant (CNA)?