Fluid and Electrolytes, Exam #4, Nursing 125, Exam Questions & Answers

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Fluid and Electrolytes, Exam #4, Nursing 125, Exam Questions & Answers-What impacts fluid balance in the body? - Hormone levels - Nutritional status - Fluid intake - Kidney function - Oxygen sa... turation - - Hormone levels - Nutritional status - Fluid intake - Kidney function - Oxygen saturation A client has hypovolemia as a result of excess blood loss from an abdominal gunshot wound. Which form of hydration would be most effective? Oral fluids Hypotonic fluids Hypertonic fluids Isotonic fluids - Oral fluids Hypotonic fluids Hypertonic fluids Isotonic fluids (read pg 68 of fluids and elect. made easy) *treatment for hypovolemia includes replacing lost fluids with fluids of the same concentration. Such replacements helps normalize blood pressure and restore blood volume. (normal saline solution or LR) A client with poor skin turgor, dry mucous membranes, and decreased urinary output is admitted to the acute care facility. Which actions should be included in the plan of care? Select all that apply. Assess color, odor, and amount of sputum. Monitor serum albumin and total protein levels. Administer IV and oral fluids. Cluster necessary activities throughout the day. Evaluate orthostatic blood pressures. - Assess color, odor, and amount of sputum. Monitor serum albumin and total protein levels. Administer IV and oral fluids. Cluster necessary activities throughout the day. Evaluate orthostatic blood pressures. A client is recently diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH), causing excess release of antidiuretic hormone. Symptoms include headache, weight gain, and nausea. What additional assessments are a priority? Select all that apply. Urine output Skin turgor Respirations Blood pressure Bowel sounds - Urine output Skin turgor Respirations Blood pressure Bowel sounds The nurse identifies a client's risk for fluid volume excess. Which intervention should be included in the plan of care? Prepare the client for hemodialysis. Restrict the client's sodium in the diet. Change the IV fluid from 0.9% NS to D5W. Monitor blood glucose levels. - Prepare the client for hemodialysis. Restrict the client's sodium in the diet. Change the IV fluid from 0.9% NS to D5W. Monitor blood glucose levels. What are locations of fluid loss: Liver, Brain, Urine, Sputum, Feces, Mucous membranes, Skin, Lungs - Urine, Feces, Skin, Lungs (Fluid output is a result of sensible (measurable) and insensible (unmeasurable) fluid loss. Sensible loss includes urine, feces, diarrhea, ostomy, and gastric drainage. Insensible loss occurs from diffusion and evaporation through the skin and lungs, and increases with open wounds, burns, or breaks in the skin.) Which hormones control fluid balance? - Antidiuretic hormone, Aldosterone, Renin-angiotensin, Brain natriuretic peptide, c-type natriuretic peptide, atrial natriuretic peptide, thyroid hormone [Show More]

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