Reference no: EM13178105

1. A client with partial-thickness burns over 40% of the body is likely to lose body fluid via: (Select all that apply.)

1. Water vapor that is lost through the skin that is burned
2. Plasma and interstitial fluids that are lost as burn exudate
3. Blood leakage via damaged capillaries in the dermis
4. Respiratory acidosis resulting from altered respiratory function
5. Plasma that leaves the intravascular space and becomes trapped in blisters
6. Sodium and water shift that out of the vessels because of increased permeability

2. A client experiencing respiratory alkalosis as a result of asthma is likely to present with which of the following clinical signs? (Select all that apply.)

1. A respiratory rate of 36 breaths per minute
2. Complaints of numbness in fingers and toes
3. Dizziness when attempting to sit upright
4. Difficulty holding a cup because of tremors
5. An irregular heartbeat on an electrocardiogram (ECG)
6. Warm, flushed skin

3. A client experiencing respiratory acidosis as a result of pneumonitis is likely to present with which of the following clinical signs? (Select all that apply.)

1. Tingling fingers
2. Difficult to arouse
3. Warm, flushed skin
4. Tremors in the hands
5. Reporting a "terrible headache"
6. Repeatedly asking "Where am I?"

4. A client experiencing diabetic ketoacidosis is likely to present with which of the following clinical signs? (Select all that apply.)
1. Red, flushed skin
2. Verbally aggressive
3. Complaints of dry mouth
4. Crackles in both lung fields
5. Oral temperature of 102.8° F
6. Requiring frequent linen changes

5. A client experiencing acute congestive heart failure (CHF) is likely to present with which of the following clinical signs? (Select all that apply.)

1. Flat neck veins
2. Bilateral crackles 
3. +2 ankle edema bilaterally
4. Urine output of 790 mL in 24 hours 
5. History of a 5-pound weight gain in 3 days
6. Systemic blood pressure 15 mm Hg above usual baseline

6. Which of the following clients is at risk for fluid, electrolyte, and acid-base imbalances? (Select all that apply.)

1. 50-year-old with hypertension
2. 36-year-old with schizophrenia
3. 40-year-old with a fractured femur
4. 15-month-old with diarrhea for 2 days
5. 76-year-old with advanced Alzheimer's disease 
6. 25-year-old with partial-thickness burns over 40% of the body.