NURS 310 Fluid NCLEX Questions 2020 – Adventist University | NURS310 Fluid NCLEX Questions 2020

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NURS 310 Fluid NCLEX Questions 2020 – Adventist University 1. A nurse is evaluating the education of a patient with fluid volume excess. Which statement by the patient makes the nurse nervous? a... . “I do not need to worry about my diet b/c I take furosemide.” b. “I plan to avoid all cold cuts.” c. “I will call me doctor if I gain weight.” d. “I will make sure to follow up with my doctor after discharge. 2. A medical student writes orders for a patient with mild hypervolemia. Which orders should the nurse question? (select all that apply) a. Administer albumin IVF. b. Auscultate lung sounds every 4 hours and PRN. c. Weigh patient once per week. d. Administer 0.45% NS IVF. e. Administer 0.9% NS IVF. f. Administer hydrochlorothiazide 12.5 mg PO BID. g. Fluid restriction 2 liters. 3. Patient is receiving 0.9% NS for 4 days at 125 mL/hour. The patient is complaining of a new onset of shortness of breath and BLE edema. Which intervention should be the nurse’s priority? a. Position the patient in low fowlers. b. Encourage TCDB (turn, cough, deep breathe). c. Administer oxygen via NC 2 L/min. d. Stop the IVF. 4. Furosemide (loop) , hydrochlorothiazide, and spironolactone diuretics are commonly used to treat fluid excess. Which med(s) are described below: Encourage baked potatoes and bananas. Loop, thiazide Monitor BP prior to and after administration. All 3 Notify MD with weight gain (2 pounds/day or 5 pounds/week) All Limit broccoli and baked potato. Spiro Take at bedtime. None Used to help counter act potassium loss spiro Requires daily weight all Hold if potassium <3.5 Loop, thiazide Call MD with tinnitus loop 5. When evaluating a patient being treated for fluid volume excess, a nurse knows interventions have been therapeutic based on which findings? a. LOC improved to A&Ox3. b. Increasing H&H levels. c. Bilateral lower extremity edema decreases to scant. d. Crackles increase bilaterally in lower lobes. 6. A nurse is planning care for a patient on 1.5 liter fluid restriction. How do you educate your patient regarding this order? Please don’t drink more than 1.5 liters, you have too much fluid in your body. Jello, icecream, ice chips are all included in your fluid amount. 7. A patient is on a 1.5 liter fluid restriction. The patient is receiving 0.9% NS at 20ml/hr. During 7a-7p: The patient drank 1 cup of coffee (240mL) with breakfast, 1 bottle of water (350mL) with lunch, and a cup of hot tea with dinner (240mL). You assume care of the patient at 1900. How much PO fluid can the patient have during your shift (7p-7a)? 430mL-240mL for IV= 190mL 8. So weird…We use hypertonic solution (Albumin) to treat severe fluid excess but is can be contraindicated with heart failure patient (who are usually hypervolemic). Why? It is too much for the heart to pump in CHF patients. Albumin adds fluid to the vascular space. 9. An 87 y.o adult male c/o of nausea, vomiting, and diarrhea for 5 days. Assessment by the nurse reveals dry oral mucosa, amber urine, and decreased turgor. Which measurement should the nurse obtain to best determine the patient’s current fluid status? a. Respiratory rate b. Blood pressure c. Weight d. Lung sound 10. Which urine output value in an adult does the nurse associate with the development of fluid volume deficit? a. 20 mL/hr b. 40 mL/hr c. 30 mL/hr d. 50 mL/hr 11. The nurse takes the vital signs of a patient who collapsed while working outdoors. During the initial assessment the patient care tech reports the following vital signs (BP, HR): Laying: 110/67, 89, Standing: 86/54, 120. What is going on with this patient, how do you fix it, and how do you know he is fixed? Orthostatic Hypotension occurred, you give them isotonic fluid. The pt is hypovolemic 12. A patient arrived to ED after a MVC. The patient has numerous fractures and open, bleeding wounds. Which IVF will the nurse initiate? a. 0.45% NS-hypo b. 3% NS-hyper c. D5NS- hyper d. 0.9% NS 13. The nurse assumes care of a patient with the following vital signs: 98*, 109, 90/50, 26, 98% with shallow respirations. Based on this information, prioritize the nursing diagnosis? (“RISK FOR” IS NOT A PRIORITY) a. Deficit fluid volume b. Risk for decreased cardiac output c. Risk for hypovolemic shock d. Impaired gas exchange 14. Which meal tray is ideal for a patient who has SOB with exertion, pedal edema, and taking furosemide? a. Grilled chicken, squash, and veggie soup. b. Salmon, broccoli, and rice. c. Turkey sandwich and baked chips. d. Grilled chicken, baked potato, and broccoli. 15. What does it mean when you are asked to “push fluids?” Encourage the patient to drink fluids [Show More]

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