cellular regulation saunders medsurg1 ex2
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Questions and Answers

Which assessment finding would indicate a fluid volume excess in a client?

  • Lung congestion and increased heart rate (correct)
  • Weight loss and poor skin turgor
  • Increased respirations and increased blood pressure
  • Decreased hematocrit and increased urine output

    • Which client would the nurse suspect is experiencing fluid volume deficit based on the given scenario?

  • The client taking diuretics who has tenting of the skin (correct)
  • The client with kidney disease that developed as a complication of diabetes mellitus
  • The client with an ileostomy from a recent abdominal surgery
  • The client requiring intermittent gastrointestinal suctioning

    • Which condition puts a client at risk for fluid volume excess according to the information provided?

  • The client with kidney disease that developed as a complication of diabetes mellitus (correct)
  • The client with an ileostomy from a recent abdominal surgery
  • The client taking diuretics who has tenting of the skin
  • The client requiring intermittent gastrointestinal suctioning

    • Which client has the highest risk of developing a potassium level of 5.5 mEq/L (5.5 mmol/L) based on the provided information?

    <p>The client with Cushing’s syndrome</p> Signup and view all the answers

    What is the most likely symptom to be observed in a client experiencing fluid volume excess?

    <p>Lung congestion and increased heart rate</p> Signup and view all the answers

    Which scenario would raise suspicion of fluid volume deficit in a client undergoing treatment for heart failure?

    <p>Client taking diuretics showing tenting of the skin</p> Signup and view all the answers

    What is the normal range for serum potassium level?

    <p>4.5 to 6.0 mEq/L</p> Signup and view all the answers

    What is a potassium deficit known as?

    <p>Hypokalemia</p> Signup and view all the answers

    Which condition places a client at risk for hypokalemia?

    <p>Gastrointestinal suction</p> Signup and view all the answers

    What is the normal range for uric acid level?

    <p>3.2 to 7.8 mg/dL</p> Signup and view all the answers

    What client condition is at risk for hyperkalemia?

    <p>Hypokalemia</p> Signup and view all the answers

    Which cognitive skill helps in recognizing cues related to electrolyte imbalances?

    <p>Clinical judgment</p> Signup and view all the answers

    Which assessment finding is specifically associated with fluid volume deficit?

    <p>Flat neck and hand veins</p> Signup and view all the answers

    Which clinical manifestation can be present in both fluid volume excess and deficit?

    <p>Elevated CVP</p> Signup and view all the answers

    What is a characteristic of a bounding pulse in the context of fluid volume excess?

    <p>Increased CVP</p> Signup and view all the answers

    Which statement is true regarding the assessment findings of fluid volume excess?

    <p>Altered level of consciousness</p> Signup and view all the answers

    What is a distinguishing feature between fluid volume excess and deficit in terms of hemodynamic parameters?

    <p>Increased CVP in excess, decreased CVP in deficit</p> Signup and view all the answers

    Which finding should alert the nurse to suspect fluid volume excess as opposed to deficit?

    <p>Weight gain</p> Signup and view all the answers

    What is the priority concept related to the discussed scenario?

    <p>Fluid and Electrolytes</p> Signup and view all the answers

    Which condition increases the risk of fluid volume deficit?

    <p>Draining Fistulas</p> Signup and view all the answers

    What is a common cause of fluid volume excess in clients?

    <p>Increased Respirations</p> Signup and view all the answers

    Which client condition poses the highest risk for fluid volume excess?

    <p>Long-term Corticosteroid Therapy</p> Signup and view all the answers

    What can be a consequence of inadequate fluid intake?

    <p>Heart Failure</p> Signup and view all the answers

    Which intervention is most appropriate for a client at risk for fluid volume deficit?

    <p>Monitoring Fluid Intake and Output</p> Signup and view all the answers

    What is an example of a sensible fluid loss?

    <p>Fluid loss through urination</p> Signup and view all the answers

    How can insensible losses occur?

    <p>Through the skin and lungs</p> Signup and view all the answers

    Which type of fluid loss cannot be measured accurately?

    <p>Fluid loss through the skin</p> Signup and view all the answers

    What are insensible losses?

    <p>Losses that occur without person's awareness</p> Signup and view all the answers

    What is a characteristic of sensible fluid losses?

    <p>They are losses of which the person is aware</p> Signup and view all the answers

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